NPIMap

Organization Active NPI

Aj Pharmacy LLC

Doing business as AJ Pharmacy

  • Pharmacy
  • Providence, RI
National Provider Identifier
1386270601
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
AJ PHARMACY LLC
Doing business as
AJ Pharmacy
AJ Pharmacy LLC
Practice address
1017 Smith St
Providence, RI 02908-2747
Phone
(401) 499-5427
NPI assigned
Mar 18, 2020
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Charles Agwunobi, PHARMDNPI 1851926364
Title
Owner/Pharmacist Manager
Phone
(401) 499-5427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1017 Smith St
Providence, RI 02908-2747

Mailing address

1017 Smith St
Providence, RI 02908-2747

Other names 2

  • AJ Pharmacy Doing business as
  • AJ Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1386270601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082747",
            "telephone_number": "401-499-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "AGWUNOBI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHARMACIST MANAGER",
        "authorized_official_telephone_number": "401-499-5427",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AJ Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AJ Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.