OrganizationActive
Pawtuxet Valley Prescription & Surgical Center,inc
NPI 1043343411 · Compounding Pharmacy · Coventry, RI
Pawtuxet Valley Prescription & Surgical Center,inc is a Compounding Pharmacy organization in Coventry, RI (NPI 1043343411).
Provider details
- NPI number
- 1043343411
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mark Gilmore, Director of Operations(401) 821-0600
- License
- PHA00001 (RI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
59 Sandy Bottom Rd
Coventry, RI 02816-5863
Phone: (401) 821-5000
Fax: (401) 821-5016
Street-level locationGet directions
Mailing address
59 Sandy Bottom Rd
Coventry, RI 02816-5863
Other names (DBA / former)
- Other name
- Pawtuxet Valley Compound Lab
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pawtuxet Valley Prescription & Surgical Center,inc's NPI number?
- Pawtuxet Valley Prescription & Surgical Center,inc's National Provider Identifier (NPI) is 1043343411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pawtuxet Valley Prescription & Surgical Center,inc?
- Pawtuxet Valley Prescription & Surgical Center,inc is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Pawtuxet Valley Prescription & Surgical Center,inc located?
- Pawtuxet Valley Prescription & Surgical Center,inc's practice location on file with NPPES is 59 Sandy Bottom Rd, Coventry, RI 02816-5863.
- What is Pawtuxet Valley Prescription & Surgical Center,inc's phone number?
- The practice phone number listed in the NPPES registry for Pawtuxet Valley Prescription & Surgical Center,inc is (401) 821-5000.
- Who is the authorized official for Pawtuxet Valley Prescription & Surgical Center,inc?
- The authorized official listed on Pawtuxet Valley Prescription & Surgical Center,inc's NPPES record is Mark Gilmore, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pawtuxet Valley Prescription & Surgical Center,inc's NPI active?
- Yes — Pawtuxet Valley Prescription & Surgical Center,inc's NPI (1043343411) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.