Active NPI
Nicholas G Brunelle, PHARM.D., R.PH.
- Pharmacist
- Greenville, RI
National Provider Identifier
1689814949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26383
- Practice address
- 446 Putnam Pike
Greenville, RI 02828-3054 - Phone
- (401) 949-1848
- Fax
- (401) 949-1539
- NPI assigned
- Feb 26, 2009
- Last updated
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH05206 | RI | |
| Pharmacist | 183500000X | 26383 | MA | Primary |
Addresses
Primary practice location
446 Putnam Pike
Greenville, RI 02828-3054
Mailing address
446 Putnam Pike
Greenville, RI 02828-3054
Phone (401) 949-1848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26383 | MA | MD | Pharmacist |
| RPH05206 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stop and Shop Pharmacy #705
- Community/Retail Pharmacy
- Greenville, RI
- NPI 1376575233
-
dba Stop & Shop Pharmacy 2818
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1689814949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 PUTNAM PIKE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028283054",
"telephone_number": "401-949-1848",
"fax_number": "401-949-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 PUTNAM PIKE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028283054",
"telephone_number": "401-949-1848",
"fax_number": "401-949-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNELLE",
"first_name": "NICHOLAS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PHARM.D., R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH05206",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "26383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.