BLACKSTONE VALLEY COMMUNITY PHARMACY
NPI 1043762230
Pharmacy - Community/Retail Pharmacy in Pawtucket, RI
NPI Status: Active since November 04, 2016
Contact Information
39 EAST AVE
SUITE 100
PAWTUCKET, RI
ZIP 02860
Phone: (401) 642-2093
Fax: (401) 728-0456
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
About BLACKSTONE VALLEY COMMUNITY PHARMACY
This page provides the complete NPI Profile along with additional information for Blackstone Valley Community Pharmacy, a provider established in Pawtucket, Rhode Island operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1043762230 assigned on November 2016. The practitioner's primary taxonomy code is 3336C0003X with license number PHA00614 (RI). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Blackstone Valley Community Pharmacy. The authorized official of this NPI record is Michael Brown (Vice President, Managed Services)
- NPI
- 1043762230
- Provider Legal Name
- CARDINAL HEALTH 132, LLC
- Other Organization Name
- BLACKSTONE VALLEY COMMUNITY PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 39 EAST AVE SUITE 100 PAWTUCKET, RI 02860
- Location Phone
- (401) 642-2093
- Location Fax
- (401) 728-0456
- Mailing Address
- ATTN: CHC RETAIL PHARMACY DEPT. 13651 DUBLIN CT STAFFORD, TX 77477
- Mailing Phone
- (281) 749-4000
- Mailing Fax
- (401) 728-0456
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-04-2016
- Last Update Date
- 09-20-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- PHA00614
- License State
- RI
- Taxonomy Description
- A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2166021 | OTHER (01) | PK |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 7 | 6 | 2 | 2 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 14 | 6 | 4 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 4 + 6 + 4 + 2 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1043762230 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477894715 | TIRZA GONCALVES CSW Individual | Social Worker (Clinical) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 312-9813 |
| 1396181772 | CARMEN ZAPATA Individual | Health Educator | 39 EAST AVE PAWTUCKET, RI 02860 (401) 312-9813 |
| 1114356342 | RODOLFO GALINATTI Individual | Physician Assistant (Medical) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 729-0080 |
| 1982022208 | JILL TAORMINA R.N. Individual | Registered Nurse (Diabetes Educator) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 312-9863 |
| 1659770642 | CHARLIE IMONAH FNP Individual | Nurse Practitioner (Family) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1508029547 | CHRISTINE L MYLES DMD Individual | Dentist | 39 EAST AVE PAWTUCKET, RI 02860 (401) 729-0080 |
| 1770822678 | ALICIA M PAQUIN RN, MS, WHNP Individual | Nurse Practitioner (Women's Health) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1275064933 | MS. ANNE BARYLICK FNP-BC Individual | Nurse Practitioner (Family) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1902220775 | ANA LOPEZ MASTERS Individual | Social Worker (Clinical) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1083018642 | KELSEY OKOLOWITCZ MA, LMHC Individual | Counselor (Mental Health) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 312-9843 |
| 1609286459 | CAMERON ELIZABETH WALKER LANG MD Individual | Pediatrics | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1386757656 | CRISTINA PACHECO MD Individual | Family Medicine | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1760969869 | ALICE OMERHI NP Individual | Nurse Practitioner (Family) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1023595725 | DAIJSIA MELENA BUBB Individual | Nurse Practitioner (Family) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 729-0080 |
| 1497222970 | JOANNA GOMES-GIBAU Individual | Social Worker (Clinical) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 312-5236 |
| 1679129738 | MR. ALEX JACOB WEINER MSN, MPH, FNP-C Individual | Nurse Practitioner (Family) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1942856000 | VANESSA CORREIA MSN, CPNP-PC, CLC Individual | Nurse Practitioner (Pediatrics) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1922504604 | MCKINZIE EGGERS MD Individual | Family Medicine | 39 EAST AVE PAWTUCKET, RI 02860 (401) 312-9808 |
| 1528716362 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. Organization | Pharmacy (Community/Retail Pharmacy) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
| 1578996625 | CORISSA ANN POND NP-C Individual | Nurse Practitioner (Family) | 39 EAST AVE PAWTUCKET, RI 02860 (401) 722-0081 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043762230, enumerated in the NPI registry as an "organization" on November 04, 2016
The provider is located at 39 East Ave Suite 100 Pawtucket, Ri 02860 and the phone number is (401) 642-2093
This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 04, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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