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Fairlawn Pharmacy Inc

Community/Retail Pharmacy in Pawtucket, RI · enumerated 2007 · authorized official Bedros Koosherian, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366578775

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Fairlawn Pharmacy Inc
Practice address 582 Smithfield Ave, Pawtucket, RI, 02860
Enumeration date Feb 27, 2007
Last updated in NPPES Sep 12, 2007

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHA00067 (RI) Primary

Authorized official

Name Bedros Koosherian
Title President

Other identifiers

Identifier Type State Issuer
4101286 Other - OTHER ID NUMBER
FP00779 Medicaid RI -
4101286 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Fairlawn Pharmacy Inc?
Fairlawn Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-12.