NPIMap

Organization Active NPI

Umass Memorial Medical Center, Inc

  • Community/Retail Pharmacy
  • Holden, MA
National Provider Identifier
1043036726
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UMASS MEMORIAL MEDICAL CENTER, INC
Practice address
100 Industrial Dr
Holden, MA 01520-1849
Phone
(774) 441-9800
Fax
(774) 329-9221
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Brian Huggins
Title
SVP Finance/Corp Controller
Phone
(508) 334-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

100 Industrial Dr
Holden, MA 01520-1849

Mailing address

55 Lake Ave N
Worcester, MA 01655-0002

Other names 1

  • UMass Memorial Health Prescriptions Direct Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Umass Memorial Medical Center Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

100 Industrial Dr
Holden, MA 01520
Phone (774) 441-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1043036726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDUSTRIAL DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201849",
            "telephone_number": "774-441-9800",
            "fax_number": "774-329-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SVP FINANCE/CORP CONTROLLER",
        "authorized_official_telephone_number": "508-334-0252"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMass Memorial Health Prescriptions Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.