CCR Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHA00542 Issued in RI

Legal business name

CCR PHARMACY LLC

Doing business as

JB Pharmacy

Practice address

1165 Main Ave
Warwick, RI 02886-1940

Phone

(401) 861-1194

Fax

(401) 383-7773

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Paul CapuanoNPI 1285235374

Title

Pharmacist/Owner

Phone

(401) 861-1194

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• JB Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Henry Capuano

  • Pharmacist
  • East Greenwich, RI
  • NPI 1285235374
  NPD Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1609306919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MAIN AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861940",
            "telephone_number": "401-861-1194",
            "fax_number": "401-383-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MAIN AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861940",
            "telephone_number": "401-861-1194",
            "fax_number": "401-383-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "CAPUANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "401-861-1194"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "RI",
            "license": "PHA00542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169883",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JP68164",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JB Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savanna J Cavacas
• Kathleen M. Cavaco, RN
• Alainna Cavin, MD
• CBS Therapy
• CCR Pharmacy LLC
• John Anthony Cece, MD
• Hasine Celik
• Centerville Podiatry LLC
• Centerville Podiatry LLC
• Scott Cerce

• Long Term Care Pharmacy in Warwick, RI
• Providers in Warwick, RI by specialty
• Long Term Care Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.