Individual provider Active NPI

Stephen Paul Ashukian, RPH

  • Pharmacist
  • Cranston, RI
National Provider Identifier
1174816169
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1726 Issued in RI
Practice address
105 Ashley St
Cranston, RI 02920-6405
Phone
(401) 942-6876
Fax
(401) 942-3212
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1726 RI Primary

Addresses

Primary practice location

105 Ashley St
Cranston, RI 02920-6405

Mailing address

105 Ashley Street
Cranston, RI 02920-6405
Phone (401) 942-6876

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1726RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1174816169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ASHLEY STREET",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206405",
            "telephone_number": "401-942-6876",
            "fax_number": "401-942-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ASHLEY ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206405",
            "telephone_number": "401-942-6876",
            "fax_number": "401-942-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHUKIAN",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 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.

Verify at the official NPI Registry.