AJ PHARMACY STORE 02 – NPI #1003561655
Pharmacy

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.

AJ PHARMACY STORE 02 is a pharmacy located in NORTH PROVIDENCE, RI. NPPES has assigned the NPI number 1003561655 to AJ PHARMACY STORE 02 on February 12, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 4 years ago on Sep 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AJ PHARMACY STORE 02 below.

NPI Profile for
AJ PHARMACY STORE 02

NPI Number
1003561655
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AJ PHARMACY STORE 02
Doing Business As (dba): AJ PHARMACY STORE 02
Other name(s)
All associated names:
Doing Business As (dba)
AJ PHARMACY STORE 02
Doing Business As (dba)
AJ pharmacy/convenience store
Primary location
468 SMITHFIELD RD
NORTH PROVIDENCE, RI 02904-4266
Phone: (401) 366-2800 Fax:
Mailing address
1017 SMITH ST
PROVIDENCE, RI 02908-2747
Phone: (401) 366-2800 Fax:
Organization Subpart
Yes - AJ PHARMACY STORE 02 is subpart of another organization.
Authorized Official
CHARLES AGWUNOBI
OWNER
Phone: (401) 499-5427
Updated
Certification Date
Aug 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AJ PHARMACY STORE 02

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDRI000000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
Pioneerrx
Endpoint type
CONNECT URL
Endpoint Description
CLOUD MESSAGING
Content Type
CSV
Affiliation
N
Endpoint Location
468 SMITHFIELD RD,
NORTH PROVIDENCE, RI 77025-1669

Endpoint
Pioneerrx
Endpoint type
Other URL
Endpoint Description
PIONEERRX
Content Type
CSV
Affiliation
N
Endpoint Location
468 SMITHFIELD RD,
NORTH PROVIDENCE, RI 77025-1669