Healthcare Provider Details

I. General information

NPI: 1992662977
Provider Name (Legal Business Name): AMRITA SHAHANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 W RIVER ST
PROVIDENCE RI
02904-2615
US

IV. Provider business mailing address

45 MILL RIVER DR
WEYMOUTH MA
02188-1820
US

V. Phone/Fax

Practice location:
  • Phone: 866-488-1636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH06728
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: