Healthcare Provider Details

I. General information

NPI: 1417596792
Provider Name (Legal Business Name): CARE NEW ENGLAND PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 03/11/2022
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

IV. Provider business mailing address

626 TOLL GATE RD
WARWICK RI
02886-2717
US

V. Phone/Fax

Practice location:
  • Phone: 855-981-1908
  • Fax: 401-889-5050
Mailing address:
  • Phone: 401-921-7525
  • Fax: 401-921-3041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOESPH IANNONI
Title or Position: EVP/CFO
Credential:
Phone: 401-921-7525