Individual provider Active NPI

Andrew W Sampaio

  • Pharmacist
  • Tiverton, RI
National Provider Identifier
1922723949
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH06302 Issued in RI
Practice address
500 Main Rd
Tiverton, RI 02878-1349
Phone
(401) 624-8421
Fax
(401) 624-1298
NPI assigned
Oct 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH06302 RI Primary

Addresses

Primary practice location

500 Main Rd
Tiverton, RI 02878-1349

Mailing address

500 Main Rd
Tiverton, RI 02878-1349
Phone (401) 624-8421

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

State licenses

LicenseStateTypeSpecialty
RPH06302RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island CVS Pharmacy, L.L.C. PastSince Oct 16, 2022 Accepting new patients
Rhode Island CVS Pharmacy LLC PastSince Oct 16, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1922723949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781349",
            "telephone_number": "401-624-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781349",
            "telephone_number": "401-624-8421",
            "fax_number": "401-624-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAIO",
        "first_name": "ANDREW",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH06302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.