OrganizationActive
Physicians of Rhode Island Enterprises Incorporated
NPI 1144304783 · Non-Pharmacy Dispensing Site · Cumberland, RI
Provider details
- NPI number
- 1144304783
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- MD10232 (RI)
Specialties & taxonomies
Suppliers
Practice location
10 Nate Whipple Hw 101
Cumberland, RI 02864
Phone: (401) 658-2020
Fax: (401) 658-3612
Approximate (ZIP-level) locationGet directions
Mailing address
10 Nate Whipple Hw 101
Cumberland, RI 02864
Other names (DBA / former)
- Doing business as
- Prime
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 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.