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General NPI Number Information
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NPI Number | 1053448407
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Entity Type | Organization
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Legal Business Name | NKI ENTERPRISES INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11 BLACKSTONE VALLEY PL
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City | LINCOLN
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State | RI
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Zip | 02865-1185
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Country | US
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Telephone | 401-726-6200
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Fax | 401-351-5902
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Provider Business Mailing Address
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Address Line | 11 BLACKSTONE VALLEY PL
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City | LINCOLN
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State | RI
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Zip | 02865-1185
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Country | US
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Telephone | 401-726-6200
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Fax | 401-351-5902
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Authorized Official
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Title or Position | PHAMACIST AND PRESIDENT
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Name | ROBERT IACOBUCCI
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Credential | RPH
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Telephone | 401-726-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHA00562
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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