Jessica Angeloro
Individual provider Active NPI Pharmacist · Coventry, RI
NPI 1366046989 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1366046989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH04590 (RI)
- Practice address
- 763 Tiogue Ave
Coventry, RI 02816-5805 - Phone
- (401) 821-2060
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH04590 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island CVS Pharmacy LLC | Past |
Accepting new patients | |
| Rhode Island CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH04590 | RI | Yes |
Addresses
Primary practice location
763 Tiogue Ave
Coventry, RI 02816-5805
Mailing address
763 Tiogue Ave
Coventry, RI 02816-5805
Phone (401) 821-2060
Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.