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Robert Anthony Licalzi , RPH

Pharmacist β€’ Providence, RI

Active NPI 1174710883 Individual Practitioner Male Practitioner
Practice location in NPPES

830 Chalkstone Ave, Room 238 - Pharmacy
Providence, RI 029084734

Call 4014573048 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

830 Chalkstone Ave
Room 238 - Pharmacy

Providence, RI 029084734

Telephone 4014573048
Organization at the Same NPPES Address or Phone
Va Medical Center Facility NPI 1447213731

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Providence and Rhode Island

219 active clinicians are listed under Pharmacist with a practice address in Providence, RI (1,031 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

0% of these 219 clinicians have the CMS telehealth indicator.

0% of these 219 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES RI RPH04363

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES CT 9306

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Khaja Ahmed , MD, CHE

Internal Medicine - Hematology & Oncology

NPI 1851308209

Doctor of Medicine (M.D.), CHE

Dr. Yumna Arif , DMD

Dentist - General Practice

NPI 1952919011

Doctor of Dental Medicine

Dr. Antonio Barajas , MD

Emergency Medicine - Emergency Medical Services

NPI 1285714501

Doctor of Medicine (M.D.)

Dr. Clyde Belgrave , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1114032497

Doctor of Medicine (M.D.)

NPI 1174635841

Doctor of Medicine (M.D.)

NPI 1902035330

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address August 13, 2025

Registered at 830 CHALKSTONE AVE, ROOM 113A - PHARMACY, PROVIDENCE, RI 029084734 (Tel: 4012737100)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2025

Pharmacist (license number reported to NPPES: CT 9306)

βœ…
NPI Profile Active September 26, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 26, 2007

Registered at 830 CHALKSTONE AVE, ROOM 238 - PHARMACY, PROVIDENCE, RI 029084734 (Tel: 4014573048)

πŸ“
Business Mailing Address (Initial Record) September 26, 2007

Registered at 830 CHALKSTONE AVE, ROOM 238 - PHARMACY, PROVIDENCE, RI 029084734 (Tel: 4014573048)

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2007

Recorded as ROBERT LICALZI, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2007

Pharmacist (license number reported to NPPES: RI RPH04363)

🟒
Initial NPI Registration & Enumeration September 26, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174710883
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2007
Last Update: August 13, 2025
Sole Proprietor: No

Other Pharmacists in Providence

Healthcare providers in Providence

Mailing Address

830 Chalkstone Ave, Room 113a - Pharmacy

Providence, RI 029084734

Phone: 4012737100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.