Organization Active NPI

Pharma Service LLC

  • Long Term Care Pharmacy
  • New Bedford, MA
National Provider Identifier
1003412933
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMA SERVICE LLC
Practice address
1183 Acushnet Ave
New Bedford, MA 02746-1905
Phone
(508) 817-5044
Fax
(774) 305-4011
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Felix Baez, RPH
Title
Pharmacist
Phone
(508) 817-5044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1183 Acushnet Ave
New Bedford, MA 02746-1905

Mailing address

PO Box 2007
New Bedford, MA 02741-2007
Phone (508) 817-5044

Other identifiers 1

IdentifierTypeStateIssuer
110148332AMedicaidMA

Other names 1

  • ETERNA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1183 Acushnet Ave
New Bedford, MA 02746
Phone (508) 817-5044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1003412933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027412007",
            "telephone_number": "508-817-5044",
            "fax_number": "774-305-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027461905",
            "telephone_number": "508-817-5044",
            "fax_number": "774-305-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "508-817-5044",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110148332A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETERNA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ETERNA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.