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PAWTUXET VALLEY COMPOUND LAB
NPI 1043343411
Pharmacy - Compounding Pharmacy in Coventry, RI

Active since March 14, 2007
59 SANDY BOTTOM RD, COVENTRY, RI 02816(401) 821-5000(401) 821-5016 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pawtuxet Valley Compound Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAWTUXET VALLEY COMPOUND LAB (NPI 1043343411) is a healthcare organization registered as a compounding pharmacy in Coventry, Rhode Island and active in the NPI registry since March 2007. The organization lists Mark Gilmore, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1043343411
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
Location Address59 SANDY BOTTOM RDCoventry, RI 02816-5863
Mailing Address59 Sandy Bottom RdCoventry, RI 02816-5863 · (401) 821-5000 · Fax (401) 821-5016
Phone(401) 821-5000
Fax(401) 821-5016
Organization SubpartNo
Authorized OfficialMark GilmoreDirector Of Operations · (401) 821-0600
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043343411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in RI · PHA00001
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
59 SANDY BOTTOM RD, Coventry, RI 02816
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Other Names 1

Other NamePawtuxet Valley Compound Lab

Other Identifiers 2

OtherPHA00001RI · License #
Other4103406RI · Ncpdp

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
Durable Medical Equipment & Medical Supplies
59 SANDY BOTTOM RD
COVENTRY, RI 02816
Kent County (401) 821-5000
PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
Pharmacy (Community/Retail Pharmacy)
59 SANDY BOTTOM RD
COVENTRY, RI 02816
Kent County (401) 821-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pawtuxet Valley Prescription & Surgical Center,inc's NPI number?

The NPI number for Pawtuxet Valley Prescription & Surgical Center,inc is 1043343411. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Pawtuxet Valley Compound Lab.

Where is Pawtuxet Valley Prescription & Surgical Center,inc located?

Pawtuxet Valley Prescription & Surgical Center,inc is located at 59 Sandy Bottom Rd, Coventry, RI 02816. The listed phone number is (401) 821-5000.

What is Pawtuxet Valley Prescription & Surgical Center,inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Pawtuxet Valley Prescription & Surgical Center,inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.