Jared T Gulluscio, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH05933 Issued in RI

Practice address

763 Tiogue Ave
Coventry, RI 02816-5805

Phone

(401) 821-2060

NPI assigned

Nov 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rhode Island CVS Pharmacy LLC

  • Pharmacy
  • North Kingstown, RI
  • NPI 1063037059
  NPD (past)
• Rhode Island CVS Pharmacy, L.L.C.

  • Pharmacy
  • Coventry, RI
  • NPI 1871697672
  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1508468356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EVERGREEN LN",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028914902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165805",
            "telephone_number": "401-821-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLUSCIO",
        "first_name": "JARED",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0014574",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Gormley
• GPS Physician Group of Rhode Island PC
• Erin Elizabeth Grady
• Jacqueline Greco
• Bobby Durell Green
• Matthew Raymond Hall, DO
• Ashlyn P Harrington
• Harris Fire and Lighting District
• Haven Health Center of Coventry, LLC
• Derek Hayward

• Pharmacist in Coventry, RI
• Providers in Coventry, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.