=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225695760
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CASMER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2019
-----------------------------------------------------
Last Update Date | 11/26/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 113 FRENCHTOWN ROAD
-----------------------------------------------------
City | NORTH KINGSTOWN
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-965-5854
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 62 ASHWOOD CIR
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886-2002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-965-5854
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST IN CHARGE
-----------------------------------------------------
Name | CARLOS ALBERT SARAIVA
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 401-965-5854
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------