| Name: | BAKER'S PHARMACY OF JAMESTOWN, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 01 Nov 1976 (48 years ago) |
| Date of Dissolution: | 02 Jul 2021 (4 years ago) |
| Date of Status Change: | 02 Jul 2021 (4 years ago) |
| Identification Number: | 000001879 |
| ZIP code: | 02835 |
| County: | Newport County |
| Principal Address: | 110 WALCOTT AVE, JAMESTOWN, RI, 02835, USA |
| Purpose: | RETAIL PHARMACY |
| NAICS: | 446110 - Pharmacies and Drug Stores |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306938519 | 2006-09-28 | 2016-09-16 | 53 NARRAGANSETT AVE, JAMESTOWN, RI, 028351100, US | 53 NARRAGANSETT AVE, JAMESTOWN, RI, 028351100, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-423-2800 |
| Fax | 4014231560 |
Authorized person
| Name | MR. TIMOTHY EDWARD BAKER |
| Role | PRESIDENT ,PHARMACIST |
| Phone | 4014232800 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PHA00040 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9010040 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| TIMOTHY E. BAKER | Agent | 53 NARRAGANSETT AVENUE, JAMESTOWN, RI, 02835, USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY EDWARD BAKER | PRESIDENT | 110 WALCOTT AVE JAMESTOWN, RI 02835 USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY EDWARD BAKER | SECRETARY | 110 WALCOTT AVE JAMESTOWN, RI 02835 USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY EDWARD BAKER | TREASURER | 110 WALCOTT AVE JAMESTOWN, RI 02835 USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY EDWARD BAKER | DIRECTOR | 110 WALCOTT AVE JAMESTOWN, RI 02835 USA |
| Number | Name | File Date |
|---|---|---|
| 202198964520 | Articles of Dissolution | 2021-07-02 |
| 202193734380 | Annual Report | 2021-03-09 |
| 202033237330 | Annual Report | 2020-01-28 |
| 201987607840 | Annual Report | 2019-02-26 |
| 201856070050 | Annual Report | 2018-01-12 |
| 201730523630 | Annual Report | 2017-01-20 |
| 201689973630 | Annual Report | 2016-01-04 |
| 201553790990 | Annual Report | 2015-01-15 |
| 201432264020 | Annual Report | 2014-01-02 |
| 201307986170 | Annual Report | 2013-01-08 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
