Renee Lynn Abjornson

Individual provider Active NPI Pharmacist · Providence, RI

NPI 1497039747 · NPPES record last updated Dec 22, 2022

Key facts

NPI
1497039747
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH04704 (RI)
Practice address
533 Elmwood Ave
Providence, RI 02907-1758
Phone
(401) 781-7930
Fax
(401) 781-5045
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH04704RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Eastern Co Inc Past
since Dec 28, 2022
Accepting new patients
Walgreen Eastern Co Inc Past Accepting new patients
Walgreen Eastern Co Inc Past
since Dec 28, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH04704 RI Yes

Addresses

Primary practice location

533 Elmwood Ave
Providence, RI 02907-1758

Mailing address

533 Elmwood Ave
Providence, RI 02907-1758
Phone (401) 781-7930

Other providers in Providence, RI

All providers in Providence, RI · Pharmacist in Rhode Island

Sources for this page

Verify at the official NPI Registry.