| Name: | CVS Healthcare Practices PLLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Jan 2023 (2 years ago) |
| Branch of: | CVS Healthcare Practices PLLC, CONNECTICUT (Company Number 2465360) |
| Identification Number: | 001751104 |
| ZIP code: | 02895 |
| County: | Providence County |
| Place of Formation: | CONNECTICUT |
| Principal Address: | ONE CVS DRIVE, WOONSOCKET, RI, 02895, USA |
| Purpose: | THIS ENTITY IS FORMED FOR THE PURPOSE OF PROVIDING PROFESSIONAL MEDICAL SERVICES VIA LICENSED PHYSICIANS. |
| Fictitious names: |
CVS Healthcare Practices (trading name, 2023-06-05 - ) |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083498752 | 2023-08-23 | 2023-08-23 | PO BOX 772, MC2295, WOONSOCKET, RI, 028950784, US | 1 CVS DR, WOONSOCKET, RI, 028956146, US | |||||||||||||||||||||
|
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| Phone | +1 866-389-2727 |
Authorized person
| Name | DEBORAH PINCINCE |
| Role | ADMINISTRATOR |
| Phone | 4017703813 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202454319080 | Annual Report | 2024-05-14 |
| 202336583990 | Fictitious Business Name Statement | 2023-06-05 |
| 202325971980 | Application for Registration | 2023-01-12 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
