Apotheco Pharmacy Providence LLC
Organization Active NPI Community/Retail Pharmacy · Providence, RI
NPI 1245055417 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1245055417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- APOTHECO PHARMACY PROVIDENCE LLC
- Practice address
- 66 Branch Ave
Providence, RI 02904-2756 - Phone
- (401) 414-4147
- NPI assigned
- Nov 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Anush Amin
- Title
- President & Officer
- Phone
- (973) 869-2820
Practitioners 1
-
Kiley Elizabeth Ward, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260313001276 | RI | Part B Supplier - Pharmacy | 2769965136 | Practice locations: Providence, RI |
National Provider Directory
Locations
66 Branch Ave
Providence, RI 02904
Phone (401) 414-4147
66 Branch Ave
Ste 145
Providence, RI 02904
Phone (401) 414-4147
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
66 Branch Ave
Providence, RI 02904-2756
Mailing address
788 Morris Tpke Ste 300
Short Hills, NJ 07078-2634
Phone (973) 869-2820
Other providers in Providence, RI
- Christopher Joseph Anzalone
- Jennifer Anzivino
- Tsikata Yaovi Apenyo
- Apex RX Medical Supply Corp.
- Neftali Aponte
- Joshua Appelbaum
- Nicholina Appiah
- Jasmine Appleberry
- Applied Nutrition Center,LLC
- Marcella Rita Aquino
All providers in Providence, RI · Community/Retail Pharmacy in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.