MPS RX New England LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHA00516 Issued in RI

Legal business name

MPS RX NEW ENGLAND LLC

Practice address

33B Appian Way
Smithfield, RI 02917-1777

Phone

(724) 940-2490

Fax

(877) 295-7772

NPI assigned

Nov 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron McKillip

Title

VP, Business Systems Support

Phone

(724) 940-2819

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millennium Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1144556770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E KENSINGER DR",
            "address_2": "SUITE 500",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663556",
            "telephone_number": "866-466-7779",
            "fax_number": "877-295-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33B APPIAN WAY",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171777",
            "telephone_number": "724-940-2490",
            "fax_number": "877-295-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPS RX NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MCKILLIP",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "VP, BUSINESS SYSTEMS SUPPORT",
        "authorized_official_telephone_number": "724-940-2819"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "RI",
            "license": "PHA00516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.