RHODE ISLAND CVS PHARMACY L.L.C. NPI 1053415851

NPI Information

  • NPI: 1053415851
  • Provider Name: RHODE ISLAND CVS PHARMACY, L.L.C.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: CVS PHARMACY # 00397
  • CLIA Number: 41D2219840
  • Address: 1270 MAIN ST
    WEST WARWICK, RI
    ZIP 02893
  • Phone: (401) 822-2762

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NPI Details

RHODE ISLAND CVS PHARMACY, L.L.C. is a pharmacy in West Warwick, RI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. RHODE ISLAND CVS PHARMACY, L.L.C. NPI is 1053415851. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 00397.

The provider's business location address is:

1270 MAIN ST
WEST WARWICK, RI
ZIP 02893-727
Phone: (401) 822-2762

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Mgr Phcy Enrollments and has the following contact phone number (401) 770-2937.

The CLIA number assigned to this NPI record is 41D2219840 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 9/12/2006 and was last updated on 5/8/2017.

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
1332B00000XDurable Medical Equipment & Medical SuppliesRHODE ISLANDNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy00147RHODE 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
16013910019MEDICARE NSCRHODE ISLAND
23910019OTHERRHODE ISLANDDME
34103418OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4739006335MEDICARE PIN
5RI76205MEDICAIDRHODE ISLAND

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: 11/21/2025

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