Active NPI
David Gagnon, RPH
- Pharmacist
- Cranston, RI
National Provider Identifier
1912501180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH03123
- Practice address
- 681 Reservoir Ave
Cranston, RI 02910-3220 - Phone
- (401) 943-7186
- Fax
- (401) 944-3020
- NPI assigned
- Nov 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH03123 | RI | Primary |
Addresses
Primary practice location
681 Reservoir Ave
Cranston, RI 02910-3220
Mailing address
681 Reservoir Ave
Cranston, RI 02910-3220
Phone (401) 943-7186
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH03123 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1912501180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029103220",
"telephone_number": "401-943-7186",
"fax_number": "401-944-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029103220",
"telephone_number": "401-943-7186",
"fax_number": "401-944-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH03123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.