Plaza Pharmacy of Westport, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

2222 Issued in MA

Legal business name

PLAZA PHARMACY OF WESTPORT, INC.

Practice address

655 State Rd
Westport, MA 02790-2848

Phone

(508) 673-5364

Fax

(508) 673-7074

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul William Vincelette

Title

President

Phone

(508) 673-5364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083723795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902848",
            "telephone_number": "508-673-5364",
            "fax_number": "508-673-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 STATE RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902848",
            "telephone_number": "508-673-5364",
            "fax_number": "508-673-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PHARMACY OF WESTPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCELETTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-673-5364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421251",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Perez, PHARMD,RPH
• Kristi J Pickering
• Yerky Urkania Pina, M.ED
• Planit Eats Inc.
• Kady Plante-Szady, L.A.T.,C.
• Elizabeth C. Pollin
• Stephen Poulos, B.S
• Protecting All Smiles, LLC
• Psyche1001 Learn Grow Change LLC
• Rachael Ann Rasmussen

• Pharmacy in Westport, MA
• Providers in Westport, MA by specialty
• Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.