Active NPI
Musgrave Inc
- Pharmacist
- Newport, RI
National Provider Identifier
1124031562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA00154
- Legal business name
- MUSGRAVE INC
- Practice address
- 580 Thames St
Newport, RI 02840-6741 - Phone
- (401) 846-1296
- Fax
- (401) 848-5538
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nigel A. Musgrave, B.S. R.PH.
- Title
- Owner
- Phone
- (401) 846-1296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA00154 | RI | Primary |
Addresses
Primary practice location
580 Thames St
Newport, RI 02840-6741
Mailing address
580 Thames St
Newport, RI 02840-6741
Phone (401) 846-1296
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4101135 | Other | RI | NABP |
| WS00100 | Medicaid | RI |
Other names 1
- WELLINGTON SQUARE PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1124031562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 THAMES ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028406741",
"telephone_number": "401-846-1296",
"fax_number": "401-848-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 THAMES ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028406741",
"telephone_number": "401-846-1296",
"fax_number": "401-848-5538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSGRAVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MUSGRAVE",
"authorized_official_first_name": "NIGEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-846-1296",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.S. R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "RI",
"license": "PHA00154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4101135",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WS00100",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLINGTON SQUARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.