Active NPI
Asthenis, LLC
- Community/Retail Pharmacy
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHA00664
- Legal business name
- ASTHENIS, LLC
- Practice address
- 206 Cranston St
Providence, RI 02907 - Phone
- (401) 473-3958
- Fax
- (401) 861-1837
- NPI assigned
- Mar 7, 2018
- Last updated
- Mar 15, 2023
- 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
- Eugenio Fernandez
- Title
- Pharmacist/Owner
- Phone
- (401) 473-3958
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHA00664 | RI | Primary |
Addresses
Primary practice location
206 Cranston St
Providence, RI 02907
Mailing address
206 Cranston St
Providence, RI 02907-2308
Phone (401) 473-3958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180912000059 | RI | Part B Supplier - Pharmacy | 8921358037 | Practice locations: Providence, RI |
| O20230209001602 | RI | DME Supplier - Pharmacy | 8921358037 | Practice locations: Providence, RI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Asthenis LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Providence, RI
- NPI 1891498234
-
- Community/Retail Pharmacy
- Seekonk, MA
- NPI 1124988498
Locations
206 Cranston St
Providence, RI 02907
Phone (401) 473-3958
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Providence, RI
- NPI 1891498234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Providence, RI
- NPI 1609301803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1124520994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 CRANSTON ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029072308",
"telephone_number": "401-473-3958",
"fax_number": "401-861-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CRANSTON ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02907",
"telephone_number": "401-473-3958",
"fax_number": "401-861-1837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTHENIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-07",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "EUGENIO",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "401-473-3958"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "RI",
"license": "PHA00664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.