Medicine Centre LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

3455 Issued in MA

Legal business name

MEDICINE CENTRE LTC LLC

Practice address

41 Sullivan St
Springfield, MA 01104

Phone

(413) 739-6100

Fax

(413) 739-6106

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

William Carlone, RPH

Title

Owner

Phone

(860) 983-8066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1013928654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SULLIVAN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SULLIVAN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-739-6100",
            "fax_number": "413-739-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CENTRE LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "CARLONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-983-8066",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2241468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Springfield, MA
• Providers in Springfield, MA by specialty
• Long Term Care Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.