Prescott Pharmacy LTC Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

DS90051 Issued in MA

Legal business name

PRESCOTT PHARMACY LTC INC

Doing business as

Prescott Pharmacy LTC, Inc.

Practice address

100 Grove St Ste B12
Worcester, MA 01605-2630

Phone

(508) 683-0260

Fax

(508) 683-0270

NPI assigned

Aug 8, 2016

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Timothy BuffumNPI 1386247880

Title

Pharmacy Manager

Phone

(508) 683-0260

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescott Pharmacy LTC, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 3

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.

• Daniel Buffum, PHARM.D.

  • Pharmacist
  • Worcester, MA
  • NPI 1386247880
  NPD Authorized official
• Srinivas Rathnam

  • Pharmacist
  • East Falmouth, MA
  • NPI 1821224296
  NPD
• Chris Foresman, CPHT, PRS, CPHT, PRS

  • Pharmacy Technician
  • Melrose, MA
  • NPI 1245815059
  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1023562006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE B12",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630",
            "telephone_number": "508-683-0260",
            "fax_number": "508-683-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE B12",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630",
            "telephone_number": "508-683-0260",
            "fax_number": "508-683-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT PHARMACY LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "BUFFUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "508-683-0260"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "DS90051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Pharmacy LTC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Prendergast, NP
• Vincent James Prendergast, ACNP
• Benjamin D Prentiss, M.D.
• Michelle Katherine Prentiss, M.S.
• Prescott Health Care
• Lauren Prescott, CNP
• Isabel Present
• Susan Prestes, RN BSN
• Kendall Presti, MD
• Lauren Prestia

• Long Term Care Pharmacy in Worcester, MA
• Providers in Worcester, 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 Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.