Individual provider Active NPI

Rima Mallouh

  • Pharmacist
  • North Smithfield, RI
National Provider Identifier
1215644307
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
MA21975 Issued in MA
Practice address
747 Victory Hwy
North Smithfield, RI 02896-7713
Phone
(508) 523-8148
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X MA21975 MA Primary

Addresses

Primary practice location

747 Victory Hwy
North Smithfield, RI 02896-7713

Mailing address

747 Victory Hwy
North Smithfield, RI 02896-7713
Phone (508) 523-8148

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rimaappleseed-dental@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
MA21975MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1215644307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 VICTORY HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967713",
            "telephone_number": "508-523-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 VICTORY HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967713",
            "telephone_number": "508-523-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOUH",
        "first_name": "RIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "MA21975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rimaappleseed-dental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "747 Victory Hwy",
            "city": "North Smithfield",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028967713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.