Larissa Jane Hubbard, PHARMD

Individual provider Active NPI Pharmacist · Pepperell, MA

NPI 1083201024 · NPPES record last updated Dec 23, 2020

Key facts

NPI
1083201024
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH232624 (MA)
Practice address
74 Main St
Pepperell, MA 01463-1560
Phone
(978) 433-6130
Fax
(978) 433-1881
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH232624MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyngsboro Family Pharmacy Inc Current Accepting new patients
Tyngsboro Family Pharmacy, Inc. Current Accepting new patients
Pepperell Pharmacy Inc Current
since Jul 24, 2022
Accepting new patients
Pepperell Pharmacy Inc Past
since Dec 27, 2020
Accepting new patients

Locations

74 Main St
Pepperell, MA 01463
Phone (978) 433-6130

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH232624 MA Yes

Addresses

Primary practice location

74 Main St
Pepperell, MA 01463-1560

Mailing address

74 Main St
Pepperell, MA 01463-1560
Phone (978) 433-6130

Other providers in Pepperell, MA

All providers in Pepperell, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.