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BLACKSTONE VALLEY COMMUNITY PHARMACY
NPI 1043762230
Pharmacy - Community/Retail Pharmacy in Pawtucket, RI

Active since November 04, 2016CLIA 41D0082689 · Waiver
39 EAST AVE, SUITE 100, PAWTUCKET, RI 02860(401) 642-2093(401) 728-0456 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Nov 18, 2016, Nov 4, 2016 (3 updates tracked since 2016).

About Blackstone Valley Community Pharmacy NPPES

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

BLACKSTONE VALLEY COMMUNITY PHARMACY (NPI 1043762230) is a healthcare organization registered as a community/retail pharmacy in Pawtucket, Rhode Island and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Michael Brown, Vice President, Managed Services, as its authorized official.

NPPES Registry Identity

NPI1043762230
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCARDINAL HEALTH 132, LLC
Location Address39 EAST AVE, SUITE 100Pawtucket, RI 02860-4003
Mailing AddressAttn: Chc Retail Pharmacy Dept. 13651 Dublin CtStafford, TX 77477 · (281) 749-4000 · Fax (614) 652-0326
Phone(401) 642-2093
Fax(401) 728-0456
Organization SubpartYes
Authorized OfficialMichael BrownVice President, Managed Services · (281) 749-4764
Enumeration DateNovember 4, 2016
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1043762230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in RI · PHA00614
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
39 EAST AVE, Pawtucket, RI 02860
Open in Google Maps ↗

Other Names 1

Doing Business AsBlackstone Valley Community Pharmacy

Other Identifiers 1

Other2166021Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0082689

Blackstone Valley Community Health Care, Inc · Pawtucket, RI
Active · expires Jun 2, 2028
CLIA Number41D0082689
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorCristina Pacheco MD
Laboratory Phone(401) 729-0081
Laboratory LocationBlackstone Valley Community Health Care, Inc39 East Ave, Pawtucket, RI 02860
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

PRISCILLA K CUNHA RN
Registered Nurse (Case Management)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-0502
BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-9892
KELSEY OKOLOWITCZ MA, LMHC
Counselor (Mental Health)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 312-9843
RODOLFO M GALINATTI PA-C
Physician Assistant (Medical)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 729-0080
NICOLE SNAPPER
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
PHILOMENE FORTES
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
MS. ANNE BARYLICK FNP-BC
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081
JANINE MARY MEDEIROS FNP-BC
Nurse Practitioner (Family)
39 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 722-0081

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 Cardinal Health 132, LLC's NPI number?

The NPI number for Cardinal Health 132, LLC is 1043762230. It was assigned to this organization in the NPPES registry on November 4, 2016. The provider is doing business as Blackstone Valley Community Pharmacy.

Where is Cardinal Health 132, LLC located?

Cardinal Health 132, LLC is located at 39 East Ave Suite 100, Pawtucket, RI 02860. The listed phone number is (401) 642-2093.

What is Cardinal Health 132, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Cardinal Health 132, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0082689) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cardinal Health 132, LLC accept?

Health plans from Moda Health Plan, Inc. list Cardinal Health 132, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cardinal Health 132, LLC was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.