Organization Active NPI

Maxi Drug South LP

Doing business as Brooks

  • Community/Retail Pharmacy
  • Coventry, RI
National Provider Identifier
1669572095
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAXI DRUG SOUTH LP
Doing business as
Brooks
Practice address
10 Coventry Shoppers Park
Coventry, RI 02816-5702
Phone
(401) 828-3230
Fax
(401) 821-7150
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Joyce Franco
Title
Licensing Supervisor
Phone
(401) 468-2840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHA00307 RI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10 Coventry Shoppers Park
Coventry, RI 02816-5702

Mailing address

50 Service Ave
Warwick, RI 02886-1021

Other identifiers 2

IdentifierTypeStateIssuer
MD11348MedicaidRI
4105056OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BROOKS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brooks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Coventry Shoppers Park
Coventry, RI 02816
Phone (401) 828-3230

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669572095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SERVICE AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COVENTRY SHOPPERS PARK",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165702",
            "telephone_number": "401-828-3230",
            "fax_number": "401-821-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXI DRUG SOUTH LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "LICENSING SUPERVISOR",
        "authorized_official_telephone_number": "401-468-2840"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "RI",
            "license": "PHA00307",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD11348",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4105056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.