Jason Michael Cambra
Pharmacist in Providence, RI. Individual provider (NPI-1).
NPI number1104723683
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1104723683
- Entity type
- Individual (NPI-1)
- Name
- Jason Michael Cambra
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2026
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH06707 | RI | Yes |
Practice location
164 Summit AveProvidence, RI 02906-2853
Phone 401-493-3040 · Fax 401-793-3043
Mailing address
38 Brooks StCranston, RI 02920-3908
Is something wrong?
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All 225 Pharmacist providers in Providence · All 11,044 providers in Providence
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