Organization Active NPI

Ameridose, LLC

  • Pharmacy
  • Westborough, MA
National Provider Identifier
1063648087
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
DS89641 Issued in MA
Legal business name
AMERIDOSE, LLC
Practice address
205 Flanders Rd
Westborough, MA 01581-1032
Phone
(888) 820-0622
NPI assigned
Jun 4, 2009
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Gregory A. Conigliaro
Title
V.P., G.M.
Phone
(508) 656-2633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X DS89641 MA Primary

Addresses

Primary practice location

205 Flanders Rd
Westborough, MA 01581-1032

Mailing address

205 Flanders Rd
Westborough, MA 01581-1032

National Provider Directory

National Provider Directory
Tax ID family
Ameridose LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

205 Flanders Rd
Westborough, MA 01581
Phone (888) 820-0622

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1063648087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FLANDERS RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FLANDERS RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811032",
            "telephone_number": "888-820-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIDOSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "CONIGLIARO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "V.P., G.M.",
        "authorized_official_telephone_number": "508-656-2633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS89641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.