Healthcare Provider Details

I. General information

NPI: 1609726405
Provider Name (Legal Business Name): ELIZABETH MARIE CHERINKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CHALKSTONE AVE
PROVIDENCE RI
02908-4734
US

IV. Provider business mailing address

101 CEDAR ST APT 301
PROVIDENCE RI
02903-1879
US

V. Phone/Fax

Practice location:
  • Phone: 401-373-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPI126531
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: