Ocean State Medical, LLC
Non-Pharmacy Dispensing Site in Johnston, Rhode Island
1386787232- Practice location
- 1539 Atwood Ave, Suite 101, Johnston, RI 02919-3262
- Phone
- 401-272-3410
- Fax
- —
- Last updated
- October 17, 2012
Ocean State Medical, LLC is a healthcare organization based in Johnston, RI. Ocean State Medical, LLC practices in Johnston, RI. The NPI Number for Ocean State Medical, LLC is 1386787232 and holds a License No. MD06856 (RI). The current practice location address for Ocean State Medical, LLC is 1539 Atwood Ave, Suite 101, Johnston, RI 02919-3262 and can be reached out via phone at 401-272-3410.
Provider Profile Details
- NPI Number
- 1386787232
- Provider Name
- Ocean State Medical, LLC
- Provider Entity Type
- Organization
- Address
- 1539 Atwood Ave, Suite 101, Johnston, RI 02919-3262
- Phone Number
- 401-272-3410
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx,inc
- Authorized Official
- Kenny Heine · Director Of Operations · 858-625-2990
- Provider Enumeration Date
- February 14, 2007
- Last Update Date
- October 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262 - City
- Johnston
- State
- Rhode Island
- Zip
- 02919-3262
- Phone Number
- 401-272-3410
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- MD06856
- License State
- RI
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ocean State Medical, LLC?
The NPI number of Ocean State Medical, LLC is 1386787232. It was assigned on February 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Ocean State Medical, LLC?
Ocean State Medical, LLC is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in RI under license number MD06856.
Where does Ocean State Medical, LLC practice?
The practice location is 1539 Atwood Ave, Suite 101, Johnston, RI 02919-3262. The office can be reached at 401-272-3410 (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 1386787232 directly on the NPPES registry website.