| Name: | OCEAN PHARMACY CHARLESTOWN, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 18 Sep 2001 (24 years ago) |
| Date of Dissolution: | 27 Dec 2018 (6 years ago) |
| Date of Status Change: | 27 Dec 2018 (6 years ago) |
| Identification Number: | 000120410 |
| ZIP code: | 02816 |
| County: | Kent County |
| Principal Address: | C/O MS. KATHLEEN M. KETTLE 5 WOLFE COURT, COVENTRY, RI, 02816, USA |
| Purpose: | PHARMACY |
| Fictitious names: |
OCEAN HEALTH MART PHARMACY (trading name, 2007-05-18 - ) |
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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013083963 | 2006-11-24 | 2012-03-07 | 3986 OLD POST RD., P.O. BOX 840, CHARLESTOWN, RI, 02813, US | 3986 OLD POST RD., CHARLESTOWN, RI, 02813, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 401-364-0900 |
Authorized person
| Name | KATHLEEN KETTLE |
| Role | OWNER |
| Phone | 4013640900 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PHA00329 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | OP45494 |
| State | RI |
| Issuer | MEDICAID |
| Number | OP45515 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BRUCE A. WOLPERT, ESQ. | Agent | 10 DORRANCE STREET SUITE 530, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SCOTT A. CAMPBELL JR. | PRESIDENT | 11 STARFLOWER COURT WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| KATHLEEN M. KETTLE | VICE PRESIDENT | 5 WOLFE COURT COVENTRY, RI 02816 USA |
| Name | Role | Address |
|---|---|---|
| KATHLEEN M. KETTLE | SECRETARY | 5 WOLFE COURT COVENTRY, RI 02816 USA |
| Name | Role | Address |
|---|---|---|
| SCOTT A. CAMPBELL JR. | TREASURER | 11 STARFLOWER COURT WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SCOTT A. CAMPBELL JR. | DIRECTOR | 11 STARFLOWER COURT WAKEFIELD, RI 02879 USA |
| KATHLEEN M. KETTLE | DIRECTOR | 5 WOLFE COURT COVENTRY, RI 02816 USA |
| Number | Name | File Date |
|---|---|---|
| 201883271370 | Articles of Dissolution | 2018-12-27 |
| 201858463760 | Annual Report | 2018-02-16 |
| 201730379110 | Annual Report | 2017-01-17 |
| 201692312640 | Annual Report | 2016-02-11 |
| 201553875930 | Annual Report | 2015-01-19 |
| 201447231420 | Statement of Change of Registered/Resident Agent | 2014-10-06 |
| 201434498090 | Annual Report | 2014-01-29 |
| 201310422050 | Annual Report | 2013-01-28 |
| 201288904170 | Annual Report | 2012-02-02 |
| 201176156890 | Annual Report | 2011-03-01 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
