NPIMap

Organization Active NPI

Prime Healthcare Services - Landmark ,LLC

  • Community/Retail Pharmacy
  • Woonsocket, RI
National Provider Identifier
1962055004
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRIME HEALTHCARE SERVICES - LANDMARK ,LLC
Practice address
115 Cass Ave
Woonsocket, RI 02895-4731
Phone
(401) 769-4100
Fax
(401) 767-1636
NPI assigned
Jul 18, 2019
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE SERVICES - LANDMARK ,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Mr. Kwun Heun Brian Leung, RPH
Title
Pharmacy Supervisor
Phone
(401) 769-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

115 Cass Ave
Woonsocket, RI 02895-4731

Mailing address

115 Cass Ave
Outpatient Pharmacy
Woonsocket, RI 02895-4731
Phone (401) 769-4100

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services - Landmark LLC7 organizations share this tax ID, including this one
Part of
Prime Healthcare Services - Landmark LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1962055004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954731",
            "telephone_number": "401-769-4100",
            "fax_number": "401-767-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954731",
            "telephone_number": "401-769-4100",
            "fax_number": "401-767-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - LANDMARK ,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE SERVICES - LANDMARK ,LLC",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "KWUN HEUN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "401-769-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.