Active NPI
T.&C. Flynns Pharmacy Inc
- Community/Retail Pharmacy
- Pittsfield, MA
National Provider Identifier
1003990698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1415
- Legal business name
- T.&C. FLYNNS PHARMACY INC
- Practice address
- 173 Elm St
Pittsfield, MA 01201-6530 - Phone
- (413) 445-5567
- Fax
- (413) 448-6122
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher S Flynn, RPH
- Title
- Vice President
- Phone
- (413) 445-5567
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 1415 | MA | Primary |
Addresses
Primary practice location
173 Elm St
Pittsfield, MA 01201-6530
Mailing address
173 Elm St
Pittsfield, MA 01201-6530
Phone (413) 445-5567
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0404667 | Medicaid | MA | |
| 12410 | Other | MA | HEALTH NEW ENGLAND |
| CW6861 | Other | MA | EMPIRE BC/BS |
| FL196654 | Other | MA | BC/BS OF MA |
| 2211794 | Other | MA | NCPDP# |
| 0000022439 | Other | MA | BOSTON MEDICAL CTR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063972 | MA | DME Supplier - Pharmacy | 5597882415 | Practice locations: Pittsfield, MA |
| O20140820000329 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5597882415 | Practice locations: Pittsfield, MA |
National Provider Directory
National Provider Directory- Tax ID family
- TC Flynns Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pittsfield, MA
- NPI 1518484260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Pittsfield, MA
- NPI 1124377726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343606400000",
"number": "1003990698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 ELM ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016530",
"telephone_number": "413-445-5567",
"fax_number": "413-448-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 ELM ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016530",
"telephone_number": "413-445-5567",
"fax_number": "413-448-6122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T.&C. FLYNNS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2012-07-30",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "413-445-5567",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "1415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0404667",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "12410",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "CW6861",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MA",
"identifier": "FL196654",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP#",
"identifier": "2211794",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CTR",
"identifier": "0000022439",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.