Individual provider Active NPI

Angelo D Morgantini, RPH

  • Pharmacist
  • Wyoming, RI
National Provider Identifier
1245833342
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH04698 Issued in RI
Practice address
1187 Main St
Wyoming, RI 02898-1074
Phone
(401) 539-4000
Fax
(401) 539-2750
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP038772L PA
Pharmacist 183500000X RPH04698 RI Primary

Addresses

Primary practice location

1187 Main St
Wyoming, RI 02898-1074

Mailing address

PO Box 58
Wyoming, RI 02898-0058
Phone (401) 539-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CVSHEALTH.COM

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
RP038772LPAMDPharmacist
RPH04698RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island CVS Pharmacy LLC PastSince Nov 22, 2020 Accepting new patients
Rhode Island CVS Pharmacy, L.L.C. PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1245833342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "WYOMING",
            "state": "RI",
            "postal_code": "028980058",
            "telephone_number": "401-539-4000",
            "fax_number": "401-539-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN ST",
            "city": "WYOMING",
            "state": "RI",
            "postal_code": "028981074",
            "telephone_number": "401-539-4000",
            "fax_number": "401-539-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGANTINI",
        "first_name": "ANGELO",
        "middle_name": "D",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038772L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH04698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CVSHEALTH.COM",
            "affiliation": "N",
            "address_1": "1187 Main St",
            "city": "Wyoming",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028981074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyoming, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.