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 StoresThis industry comprises establishments known as pharmacies and drug stores engaged in retailing prescription or nonprescription drugs and medicines. Learn more at the U.S. Census Bureau
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 | |||||||||||||||||||||||||
|
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 Apr 2025
Sources: Rhode Island Department of State