Active NPI
Greshma Mattathil Philix
- Pharmacist
- Hudson, MA
National Provider Identifier
1013664473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240696
- Practice address
- 186 Main St
Hudson, MA 01749-2317 - Phone
- (978) 562-5096
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240696 | MA | Primary |
Addresses
Primary practice location
186 Main St
Hudson, MA 01749-2317
Mailing address
673 Franklin St
Worcester, MA 01604-1847
Phone (914) 602-5474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH240696 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1013664473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 FRANKLIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041847",
"telephone_number": "914-602-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 MAIN ST",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492317",
"telephone_number": "978-562-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIX",
"first_name": "GRESHMA",
"middle_name": "MATTATHIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.