Laurie B Phenix, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH22873 Issued in MA

Practice address

88 Silva Lane, Tech 4, Suite 110
Middletown, RI 02842

Phone

(401) 334-1065

Fax

(401) 619-5215

NPI assigned

Jun 30, 2011

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Laurie B Rebello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1912294778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAGELLAN RX MANAGEMENT",
            "address_2": "88 SILVA LANE, TECH 4, SUITE 110",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-334-1065",
            "fax_number": "401-619-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SILVA LANE, TECH 4, SUITE 110",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-334-1065",
            "fax_number": "401-619-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENIX",
        "first_name": "LAURIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH22873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "REBELLO",
            "middle_name": "B",
            "prefix": "MISS",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Marilyn Peters
• Sadie Peters
• Cynthia M Petty, COTA/L
• Diane Pezzullo, RN
• Pharma-Cycle, LLC
• Nina Phillips
• Kendra Ryan Pimenta, PA-C
• Katrina Pimentel, OTR/L
• Kristin Anne Pimentel, RPH
• Suzanne Pollock

• Pharmacist in Middletown, RI
• Providers in Middletown, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.