Individual provider Active NPI

Padideh Ghaeli, PHARMD

  • Pharmacist
  • Warwick, RI
National Provider Identifier
1164146502
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03440 Issued in RI
Practice address
225 Metro Center Blvd
Warwick, RI 02886-1783
Phone
(401) 593-0500
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23007 MA
Pharmacist 183500000X 03440 RI Primary

Addresses

Primary practice location

225 Metro Center Blvd
Warwick, RI 02886-1783

Mailing address

196 Old River Rd Apt 206
Lincoln, RI 02865-1133
Phone (401) 365-2144

Other practice location 1

371 Putnam Pike Ste 250A
Smithfield, RI 02917-2445
Phone (401) 232-2854

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

LicenseStateTypeSpecialty
23007MAMDPharmacist
03440RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tabula Rasa Healthcare Group, Inc. CurrentSince Oct 2, 2022 Accepting new patients

Locations

225 Metro Center Blvd
Warwick, RI 02886
Phone (401) 593-0500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1164146502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 OLD RIVER RD APT 206",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651133",
            "telephone_number": "401-365-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 METRO CENTER BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861783",
            "telephone_number": "401-593-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Putnam Pike Ste 250A",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172445",
            "country_code": "US",
            "telephone_number": "401-232-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAELI",
        "first_name": "PADIDEH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "23007",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "03440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.