Paula J Antonellis, RPH

Individual provider Active NPI Pharmacist · Woonsocket, RI

NPI 1720031859 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1720031859
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
00059T (RI)
Practice address
450 Clinton Street
Woonsocket, RI 02895
Phone
(401) 767-4100
Fax
(401) 235-6851
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
00059TRIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00059T RI Yes

Addresses

Primary practice location

450 Clinton Street
Woonsocket, RI 02895

Mailing address

191 Social Street
Woonsocket, RI 02895
Phone (401) 767-4163

Other providers in Woonsocket, RI

All providers in Woonsocket, RI · Pharmacist in Rhode Island

Sources for this page

Verify at the official NPI Registry.