John Joseph Caressimo Jr.
Individual provider Active NPI Pharmacy Technician · Coventry, RI
NPI 1972647543 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972647543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- PHT01661 (RI)
- Practice address
- 85 Sandy Bottom Rd
Coventry, RI 02816-5863 - Phone
- (401) 821-0600
- Fax
- (401) 823-7808
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHT01661 | RI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawtuxet Valley Prescription & Surgical Center,Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHT01661 | RI | Yes |
Addresses
Primary practice location
85 Sandy Bottom Rd
Coventry, RI 02816-5863
Mailing address
5 Maryland Dr
West Warwick, RI 02893-1213
Phone (401) 821-0600
Other providers in Coventry, RI
- Katie Burns
- Natalie Marie Calo
- Capitol Chiropractic Inc.
- Tara Danielle Capobianco
- Jessica Lynn Card
- Cari L. Cuesta, LMHC LLC
- Christopher Carlow
- Jennifer Kristen Carruba
- Rachel Carvalho
- Center of New England Urgent Care
All providers in Coventry, RI · Pharmacy Technician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.