PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTERINC NPI 1043343411

NPI Information

  • NPI: 1043343411
  • Provider Name: PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Other Name: PAWTUXET VALLEY COMPOUND LAB
  • Address: 59 SANDY BOTTOM RD
    COVENTRY, RI
    ZIP 02816
  • Phone: (401) 821-5000

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NPI Details

PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC is a compounding pharmacy pharmacy in Coventry, RI. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC NPI is 1043343411. The provider is registered as an organization entity type.
The provider Other Name Is Pawtuxet Valley Compound Lab.

The provider's business location address is:

59 SANDY BOTTOM RD
COVENTRY, RI
ZIP 02816-863
Phone: (401) 821-5000
Fax: (401) 821-5016

The provider's authorized official is Mark Gilmore .
The authorized official title is Director Of Operations and has the following contact phone number (401) 821-0600.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyPHA00001RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHA00001OTHERRHODE ISLANDLICENSE #
24103406OTHERRHODE ISLANDNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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