Michael John Kassabian

Key facts

NPI

1730784331

Entity type

Individual (NPI type 1)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Practice address

11 Main St
Wakefield, RI 02879-3569

Phone

(401) 783-3384

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2020.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1730784331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793569",
            "telephone_number": "401-783-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSABIAN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

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• Kathleen Kamerzel
• Margaret Beth Kane
• Patricia A Karwan, NP
• Alexandra E. Kashmanian, CRNA
• Kate Cassin, MD, PC
• Kathleen Levy LMFT LLC
• Katy McLean LMFT Inc
• Renee S Katz, MT
• Laurie B Kaufman, PH.D.

All providers in Wakefield, RI · Community/Retail Pharmacy in Rhode Island