Active NPIOrganization

Maxi Drug South LP

Pharmacy, Community/Retail Pharmacy in Providence, Rhode Island

NPI Number1013017441
Practice location
1200 North Main Street, Providence, RI 02904-1820
Fax
—
Last updated
December 13, 2011

Maxi Drug South LP is a healthcare organization based in Providence, RI. Maxi Drug South LP practices in Providence, RI. The NPI Number for Maxi Drug South LP is 1013017441 and holds a License No. PHA000284 (RI). The current practice location address for Maxi Drug South LP is 1200 North Main Street, Providence, RI 02904-1820 and can be reached out via phone at 401-272-3048.

Provider Profile Details

NPI Number
1013017441
Provider Name
Maxi Drug South LP
Provider Entity Type
Organization
Address
1200 North Main Street, Providence, RI 02904-1820
Phone Number
401-272-3048
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Jennifer Zorek · Manager Online Adjudication · 717-975-5937
Other Names
Rite Aid Pharmacy 10247 (Doing Business As)
Provider Enumeration Date
September 25, 2006
Last Update Date
December 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 North Main Street
Providence, RI 02904-1820
Zip
02904-1820
Phone Number
401-272-3048
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
200 Newberry Commons
Etters, PA 17319-9363
City
Etters
State
PA
Zip
17319-9363
Phone Number
717-761-2633
Fax Number
717-975-8659

License Information

License Number (2)
PHA000284
License State (2)
RI
Taxonomy (2)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maxi Drug South LP?

The NPI number of Maxi Drug South LP is 1013017441. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Maxi Drug South LP?

Maxi Drug South LP is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in RI under license number PHA000284.

Where does Maxi Drug South LP practice?

The practice location is 1200 North Main Street, Providence, RI 02904-1820. The office can be reached at 401-272-3048 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013017441 directly on the NPPES registry website.

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