Pharmblue Massachusetts LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMBLUE MASSACHUSETTS LLC

Practice address

163 Pleasant St
Attleboro, MA 02703-2457

Phone

(855) 779-4720

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Kristen Gurley

Title

VP Legal Affairs

Phone

(469) 592-2011

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmedquest Pharmacy Services

  • Pharmacy
  • Los Angeles, CA
  • NPI 1891107066

  Member Of

  NPD member

Practitioners 1

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

• Megan Masse, RPH

  • Pharmacist
  • Attleboro, MA
  • NPI 1265931737
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1073900577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 GRANITE PKWY STE 425",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246648",
            "telephone_number": "469-592-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PLEASANT ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032457",
            "telephone_number": "855-779-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMBLUE MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "469-592-2011"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tinamarie Petrella, M.S., CCC-A
• Sarah Petrides, MSN, FNP-BC
• Tina M Pezza, MS, CCC/SLP, CEIS
• Kari Pfeiler, PT
• Gina Pham, BSN, RN
• Tyler L. Phelan, D.D.S.
• Ronald P. Pigeon, M.D.
• Jordana Pilz
• Stacy Lynn Pina
• Maria Pinheiro

• Community/Retail Pharmacy in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.