| Name: | OCEAN PHARMACY CHARLESTOWN, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 18 Sep 2001 (23 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 |
| NAICS: | 446110 - Pharmacies and Drug Stores |
| Fictitious names: |
OCEAN HEALTH MART PHARMACY (trading name, 2007-05-18 - ) |
| 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 | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| 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: 09 Oct 2024
Sources: Rhode Island Department of State
