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NPI 1386787232

OrganizationActive

Ocean State Medical, LLC

NPI 1386787232 · Non-Pharmacy Dispensing Site · Johnston, RI

Provider details

NPI number: 1386787232
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx,inc
Authorized official: Kenny Heine, Director of Operations
License: MD06856 (RI)

Practice location

1539 Atwood Ave

Suite 101

Johnston, RI 02919-3262

Phone: (401) 272-3410

More RI providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Registry dates

Enumerated: 2007-02-14
Last updated: 2012-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ocean State Medical, LLC — NPI 1386787232, Johnston, RI | NPI Central