Anawan Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS90045 Issued in MA

Legal business name

ANAWAN PHARMACY LLC

Doing business as

Anawan Pharmacy

Practice address

224 Winthrop St
Rehoboth, MA 02769-2650

Phone

(774) 901-2445

Fax

(774) 565-8481

NPI assigned

Jun 24, 2016

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Ploude

Title

Owner/Manager/Ao

Phone

(774) 901-2445

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Anawan Pharmacy Doing business as

Practitioners 1

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.

• Erik Johnson

  • Pharmacist
  • Rehoboth, MA
  • NPI 1326452103
  NPD

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1235580887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WINTHROP ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692650",
            "telephone_number": "774-901-2445",
            "fax_number": "774-565-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WINTHROP ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692650",
            "telephone_number": "774-901-2445",
            "fax_number": "774-565-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAWAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PLOUDE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MANAGER/AO",
        "authorized_official_telephone_number": "774-901-2445"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS90045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110115417A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anawan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3Point Counseling LLC
• Aeg Ventures, L.L.C.
• Rosalind Sadie Amaral, P.T.A.
• Anawan Pharmacy LLC
• Lisa Andrade, MA
• Aviv, LLC
• Courtney Lynn Bairos, PT
• Hollie Barclay, RN, IBCLC

• Community/Retail Pharmacy in Rehoboth, MA
• Providers in Rehoboth, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• 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.