Active NPI
Lisa Marie Rodriguez, PHARM.D.
- Pharmacist
- North Providence, RI
National Provider Identifier
1821497702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 04736
- Practice address
- 15 Smithfield Rd
Admiral Plaza
North Providence, RI 02904-5312 - Phone
- (401) 353-4075
- Fax
- (401) 353-9614
- NPI assigned
- Aug 17, 2014
- Sex
- Female
- 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 | 04736 | RI | Primary |
| Pharmacist | 183500000X | PH27740 | MA |
Addresses
Primary practice location
15 Smithfield Rd
Admiral Plaza
North Providence, RI 02904-5312
Mailing address
15 Smithfield Rd
Admiral Plaza
North Providence, RI 02904-5312
Phone (401) 353-4075
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH27740 | MA | MD | Pharmacist |
| 04736 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- North Providence, RI
- NPI 1831145838
-
- Community/Retail Pharmacy
- Ludlow, VT
- NPI 1255182622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408233600000",
"number": "1821497702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SMITHFIELD RD",
"address_2": "ADMIRAL PLAZA",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045312",
"telephone_number": "401-353-4075",
"fax_number": "401-353-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SMITHFIELD RD",
"address_2": "ADMIRAL PLAZA",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045312",
"telephone_number": "401-353-4075",
"fax_number": "401-353-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-17",
"last_updated": "2014-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "04736",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.