| Name: | NKI Enterprises, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Jan 1993 (32 years ago) |
| Identification Number: | 000070868 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 11 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865, USA |
| Purpose: | SALES OF GENERAL PRODUCTS AND PHARMACEUTICAL PRODUCTS. |
| Fictitious names: |
WHITE CROSS PHARMACY Professional Services (trading name, 1997-02-26 - ) |
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 | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053448407 | 2007-02-27 | 2024-04-12 | 11 BLACKSTONE VALLEY PL, LINCOLN, RI, 028651185, US | 11 BLACKSTONE VALLEY PL, LINCOLN, RI, 028651185, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-726-6200 |
| Fax | 4013515902 |
Authorized person
| Name | ROBERT IACOBUCCI |
| Role | PHAMACIST AND PRESIDENT |
| Phone | 4017266200 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PHA00562 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9010278 |
| State | RI |
| Issuer | PK |
| Number | 2089241 |
| Name | Role | Address |
|---|---|---|
| BETH I. BROWN | Agent | 1057 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT LOUIS IACOBUCCI | PRESIDENT | 54 CARRIAGE DRIVE LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| BETH IACOBUCCI BROWN | TREASURER | 12 LORD FOX RUN LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| NANCY KELLY IACOBUCCI | SECRETARY | 54 CARRIAGE DR LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT JORDAN IACOBUCCI | VICE PRESIDENT | 2 HENRY DRIVE LINCOLN, RI 02865 USA |
| Number | Name | File Date |
|---|---|---|
| 202446402530 | Annual Report | 2024-02-14 |
| 202328595750 | Annual Report - Amended | 2023-02-17 |
| 202328493740 | Annual Report | 2023-02-17 |
| 202213333450 | Annual Report | 2022-03-23 |
| 202191336630 | Annual Report | 2021-02-15 |
| 202032435890 | Annual Report | 2020-01-15 |
| 201984573940 | Annual Report | 2019-01-16 |
| 201858737500 | Annual Report | 2018-02-21 |
| 201734514030 | Annual Report | 2017-02-22 |
| 201690141990 | Annual Report | 2016-01-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8036657108 | 2020-04-15 | 0165 | PPP | 1057 Mineral Spring Ave, North Provdence, RI, 02904 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State
