IndividualActive
Alexander Yelisavetskiy, PHARMD
NPI 1164025763 · Pharmacist · Providence, RI
Provider details
- NPI number
- 1164025763
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 26451 (MA)
Practice location
481 Angell St
Providence, RI 02906-4407
Phone: (401) 521-4340
Fax: (401) 273-4217
Mailing address
481 Angell St
Providence, RI 02906-4407
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.