Active NPI
Ronika Nair-Fortes, PHARMD
- Pharmacist
- Pawtucket, RI
National Provider Identifier
1154603975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH04466
- Practice address
- 700 Central Ave
Pawtucket, RI 02861-2102 - Phone
- (401) 727-4407
- Fax
- (401) 728-9480
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH04466 | RI | Primary |
Addresses
Primary practice location
700 Central Ave
Pawtucket, RI 02861-2102
Mailing address
700 Central Ave
Pawtucket, RI 02861-2102
Phone (401) 727-4407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH04466 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1154603975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CENTRAL AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028612102",
"telephone_number": "401-727-4407",
"fax_number": "401-728-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CENTRAL AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028612102",
"telephone_number": "401-727-4407",
"fax_number": "401-728-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR-FORTES",
"first_name": "RONIKA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH04466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.