NPIMap

Organization Active NPI

Van Eeghens Pharmacy LLC

Doing business as Van Eeghen's Pharmacy

  • Pharmacy
  • Cranston, RI
National Provider Identifier
1154822559
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHA0065 Issued in RI
Legal business name
VAN EEGHENS PHARMACY LLC
Doing business as
Van Eeghen's Pharmacy
Practice address
650 Oaklawn Ave Ste E
Cranston, RI 02920-2811
Phone
(401) 741-7738
Fax
(401) 741-7738
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Brooke Van EeghenNPI 1629303433
Title
Owner/Pic/Ao
Phone
(401) 741-7738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHA0065 RI Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

650 Oaklawn Ave Ste E
Cranston, RI 02920-2811

Mailing address

650 Oaklawn Ave Ste E
Cranston, RI 02920-2811
Phone (401) 741-7738

Other identifiers 1

IdentifierTypeStateIssuer
2176145OtherPK

Other names 1

  • Van Eeghen's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

650 Oaklawn Ave
Ste E
Cranston, RI 02920
Phone (401) 741-7738

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1154822559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 OAKLAWN AVE STE E",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202811",
            "telephone_number": "401-741-7738",
            "fax_number": "401-741-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OAKLAWN AVE STE E",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202811",
            "telephone_number": "401-741-7738",
            "fax_number": "401-741-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN EEGHENS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "VAN EEGHEN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "401-741-7738"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "RI",
            "license": "PHA0065",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Eeghen's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.