Jb Pharmacy

LBN: Ccr Pharmacy Llc
Jb Pharmacy is an health care organization with primary practice located at 1017 Smith St , Providence RI 02908-2747. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ccr Pharmacy Llc can be contacted via phone (401) 861-1194, or through Capuano, Paul via phone (401) 861-1194.

Contact Information

Primary practice address
1017 Smith St Providence RI 02908-2747
Phone: (401) 861-1194
Fax: (401) 383-7773
Website:
Map and Directions
Authorized official contact:
Name: Capuano, Paul
Phone: (401) 861-1194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PHA00542 Rhode Island

Profile Details

NPI number 1609306919
LBN Legal business name Ccr Pharmacy Llc
DBA Doing business as Jb Pharmacy
Authorized official Capuano, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2017
Last updated Mar 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609306919 NPPES
Rhode Island MEDICAID JP68164
Rhode Island Other 2169883

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