Healthcare Provider Details

I. General information

NPI: 1225695760
Provider Name (Legal Business Name): CASMER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 S COUNTY TRL
EAST GREENWICH RI
02818
US

IV. Provider business mailing address

62 ASHWOOD CIR
WARWICK RI
02886-2002
US

V. Phone/Fax

Practice location:
  • Phone: 401-541-7220
  • Fax: 401-541-7226
Mailing address:
  • Phone: 401-965-5854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARLOS ALBERT SARAIVA
Title or Position: OWNER
Credential:
Phone: 401-541-7220