Medwiz of Mass LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MEDWIZ OF MASS LLC

Practice address

69 Elm St
Foxborough, MA 02035-2531

Phone

(508) 772-8600

Fax

(508) 772-8601

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Eric Newhouse

Title

Ceo

Phone

(845) 624-8080

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

Locations

Practitioners 5

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

• Kathleen Aleksiewicz, PHARMD

  • Pharmacist
  • Foxboro, MA
  • NPI 1235817115
  NPD
• Shih Yun G Chen, PHARMD

  • Pharmacist
  • Foxborough, MA
  • NPI 1043923345
  NPD
• Laerta Kamberi

  • Pharmacist
  • Foxborough, MA
  • NPI 1205657434
  NPD
• Deborah Short, RPH

  • Pharmacist
  • Foxborough, MA
  • NPI 1386452332
  NPD
• Renee Brien

  • Pharmacist
  • Foxboro, MA
  • NPI 1124987680
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1043965403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "508-772-8600",
            "fax_number": "508-772-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ELM ST",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352531",
            "telephone_number": "508-772-8600",
            "fax_number": "508-772-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWIZ OF MASS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-624-8080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Masood, PA-C
• Laura L Mattes, PT, DPT
• Kevin Leo McCabe, BCBA, LABA
• Daniel N McClure, PHD, MS
• Emily T McLane, OTR/L
• Austin Ryan Meeker
• Meetal Mehta, MD
• Arianna Mitropoulos, PT, DPT
• Melissa Ann Montesano, PTA
• Abigail Meryl Moore, LCSW

• All providers in Foxborough, MA
• Long Term Care Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.