Organization Active NPI

Phred S Drug Inc

  • Community/Retail Pharmacy
  • Cranston, RI
National Provider Identifier
1942307889
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA00260 Issued in RI
Legal business name
PHRED S DRUG INC
Doing business as
Phreds Drug Inc
Practice address
1300 Oaklawn Ave
Cranston, RI 02920-2635
Phone
(401) 463-6300
Fax
(401) 463-3012
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Charles Rossi, RPH
Title
President
Phone
(401) 463-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHA00260 RI Primary

Addresses

Primary practice location

1300 Oaklawn Ave
Cranston, RI 02920-2635

Mailing address

PO Box 20250
Cranston, RI 02920-0943

Other identifiers 2

IdentifierTypeStateIssuer
PD00133MedicaidRI
2088246OtherPK

Other names 1

  • PHREDS DRUG INC Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Oaklawn Ave
Cranston, RI 02920
Phone (401) 463-6200

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1942307889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20250",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202635",
            "telephone_number": "401-463-6300",
            "fax_number": "401-463-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHRED S DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-463-6300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "PHA00260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD00133",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHREDS DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2016; 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.