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VICTAPHARM
NPI 1265191118
Pharmacy in Providence, RI

Active since December 08, 2021
110 ELMWOOD AVE, PROVIDENCE, RI 02907(401) 300-5757 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Victapharm NPPES

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

VICTAPHARM (NPI 1265191118) is a healthcare organization registered as a pharmacy in Providence, Rhode Island and active in the NPI registry since December 2021. The organization lists Lisa A Peterson, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1265191118
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameVICTAPHARM
Location Address110 ELMWOOD AVEProvidence, RI 02907-2423
Mailing Address110 Elmwood AveProvidence, RI 02907-2423 · (401) 300-5757
Phone(401) 300-5757
Organization SubpartYesParent: Victa Llc
Authorized OfficialLisa A PetersonChief Operating Officer · (401) 432-6029
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1265191118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
110 ELMWOOD AVE, Providence, RI 02907
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Other Identifiers 1

Medicaid1104317007RI

Other Providers at the Same Location NPPES 17

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

SUSAN H HART M.D.
Internal Medicine (Addiction Medicine)
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 275-5039
WILLIAM MCCAUGHEY
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
BRYANA MICHELLE AGUIAR
Marriage & Family Therapist
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
MR. ALEXANDER DONOYAN MBA, LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 868-0654
DAWN MADEN LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
DR. CHERYL BRODSKY M.D.
Obstetrics & Gynecology
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
KATIE RENEE GONZALEZ LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 545-5433
AMANDA JOYE WHITNEY LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757

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 Victapharm's NPI number?

The NPI number for Victapharm is 1265191118. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Victapharm located?

Victapharm is located at 110 Elmwood Ave, Providence, RI 02907. The listed phone number is (401) 300-5757.

What is Victapharm's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Victapharm was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.