Sherri Elaine Kanelos

Individual provider Active NPI Pharmacist · Central Falls, RI

NPI 1982208849 · NPPES record last updated Nov 22, 2020

Key facts

NPI
1982208849
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
04652 (RI)
Practice address
309 Broad St
Central Falls, RI 02863-3000
Phone
(401) 721-9880
NPI assigned
Nov 22, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
04652RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island CVS Pharmacy LLC Past
since Nov 29, 2020
Accepting new patients
Rhode Island CVS Pharmacy, L.L.C. Past
since Nov 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 04652 RI Yes

Addresses

Primary practice location

309 Broad St
Central Falls, RI 02863-3000

Mailing address

309 Broad St
Central Falls, RI 02863-3000
Phone (401) 721-9880

Other providers in Central Falls, RI

All providers in Central Falls, RI · Pharmacist in Rhode Island

Sources for this page

Verify at the official NPI Registry.