Prime Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHA00075 Issued in RI

Legal business name

PRIME DRUG INC

Practice address

613 Cranston St
Providence, RI 02907-2813

Phone

(401) 521-9660

Fax

(401) 861-1177

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Carmine Detomasis

Title

VP

Phone

(401) 521-9660

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1679621676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CRANSTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CRANSTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072813",
            "telephone_number": "401-521-9660",
            "fax_number": "401-861-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "DETOMASIS",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "401-521-9660"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "PHA00075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4101919",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD02331",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristofer Malvern Price, PHARM.D, BCPP
• Joshua Price
• Lawrence Howard Price, MD
• Marilyn Price, MD
• Jennifer Marie Primack, PH.D.
• Anna Prince, LICSW
• Brea Shay Prindaville, M.D.
• Kathleen Mary Pringle, RN
• Ashley Proal, AGACNP-BC
• Allison Proano, PA

• Community/Retail Pharmacy in Providence, RI
• Providers in Providence, RI by specialty
• Community/Retail Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.