Organization Active NPI

Clutch Inc

Doing business as Park Square Pharmacy

  • Community/Retail Pharmacy
  • North Smithfield, RI
National Provider Identifier
1699476507
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CLUTCH INC
Doing business as
Park Square Pharmacy
Practice address
65 Eddie Dowling Hwy
North Smithfield, RI 02896-7305
Phone
(401) 575-3170
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Zahan Akbar, PHARMD
Title
Owner
Phone
(401) 575-3170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

65 Eddie Dowling Hwy
North Smithfield, RI 02896-7305

Mailing address

7 Dover Ave
Lincoln, RI 02865-4031
Phone (401) 575-3170

Other names 1

  • Park Square Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230627000983 RI Part B Supplier - Pharmacy 3072971845 Practice locations: North Smithfield, RI

National Provider Directory

National Provider Directory
Tax ID family
Clutch Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1699476507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOVER AVE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654031",
            "telephone_number": "401-575-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967305",
            "telephone_number": "401-575-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUTCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "AKBAR",
        "authorized_official_first_name": "ZAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-575-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.