Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174710883 Individual Practitioner Male Practitioner

Robert Anthony Licalzi , RPH

Pharmacist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Robert Licalzi, RPH is a registered healthcare professional specializing in Pharmacist in Providence, RI. Practice services are available at 830 CHALKSTONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

830 Chalkstone Ave
Room 238 - Pharmacy

Providence, RI 029084734

Telephone 4014573048
Associated Practice Facility / Clinic
🏢 Va Medical Center Facility NPI 1447213731

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Providence, RI (1049 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Meagan Brown

Pharmacist

NPI 1285955831
Dr. Paul Barbour , PharmD, MS

Pharmacist - Pharmacotherapy

NPI 1447285283

Doctor of Pharmacy (Pharm.D.), Master of Science

NPI 1477669315

Registered Pharmacist

NPI 1508971870

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address August 13, 2025

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

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

Pharmacist (License #9306 in CT)

NPI Profile Active September 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2007

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

📍
Updated Business Mailing Address September 26, 2007

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

👤
Provider Name / Credentials Updated September 26, 2007

Recorded as ROBERT LICALZI, RPH

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

Pharmacist (License #RPH04363 in RI)

🟢
Initial NPI Registration & Enumeration September 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

830 Chalkstone Ave, Room 113a - Pharmacy

Providence, RI 029084734

Phone: 4012737100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.