Maxi Drug South LP
Organization Active NPI Community/Retail Pharmacy · Richmond, RI
NPI 1124117965 · NPPES record last updated Dec 13, 2011
Key facts
- NPI
- 1124117965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHA00367 (RI)
- Legal business name
- MAXI DRUG SOUTH LP
- Practice address
- 21 Kingstown Road
Richmond, RI 02898-1101 - Phone
- (401) 539-6001
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHA00367 | RI | Yes |
Addresses
Primary practice location
21 Kingstown Road
Richmond, RI 02898-1101
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4106678 | Other | OTHER ID NUMBER | |
| MD61383 | Medicaid | RI |
Other names
- RITE AID PHARMACY 10246
Other providers in Richmond, RI
- Thomas Joyce
- Christopher Denis Levesque
- Kaitlin Liese
- Kelly Margaret Marsella
- Kelly Matisi
- Cara E McLaughlin
- Ralph Le Misto III
- Lisa Moniz
- Perspectives Corporation
- Perspectives Corporation
All providers in Richmond, RI · Community/Retail Pharmacy in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.