NPIMap

Organization Active NPI

Deerfield Pharmacy

  • Pharmacist
  • S Deerfield, MA
National Provider Identifier
1083727234
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
BD3077307 Issued in MA
Legal business name
DEERFIELD PHARMACY
Practice address
45 Main St.
S. Deerfield, MA 01373-1012
Phone
(413) 665-8143
NPI assigned
Aug 15, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Robert Fydenkevez
Title
RPH/Owner
Phone
(413) 665-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X BD3077307 MA Primary

Addresses

Primary practice location

45 Main St.
S. Deerfield, MA 01373-1012

Mailing address

45 Main St.
S. Deerfield, MA 01373-1012
Phone (413) 665-8143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1083727234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MAIN ST.",
            "city": "S. DEERFIELD",
            "state": "MA",
            "postal_code": "013731012",
            "telephone_number": "413-665-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN ST.",
            "city": "S. DEERFIELD",
            "state": "MA",
            "postal_code": "013731012",
            "telephone_number": "413-665-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FYDENKEVEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "413-665-8143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "BD3077307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Deerfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.