Active NPI
Kelsey Ann Haraty, PHARMD, RPH
- Pharmacist
- Springfield, MA
National Provider Identifier
1093329476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH239706
- Practice address
- 619 Chestnut St
Springfield, MA 01107-2011 - Phone
- (413) 271-9990
- Fax
- (413) 271-9992
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH239706 | MA | Primary |
Addresses
Primary practice location
619 Chestnut St
Springfield, MA 01107-2011
Mailing address
619 Chestnut St
Springfield, MA 01107-2011
Phone (413) 271-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH239706 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
619 Chestnut St
Springfield, MA 01107
Phone (413) 271-9990
Organizations & group practices 2
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.
-
dba Walgreens Specialty Pharmacy #16537
- Pharmacy
- Springfield, MA
- NPI 1992240659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1093329476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011072011",
"telephone_number": "413-271-9990",
"fax_number": "413-271-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011072011",
"telephone_number": "413-271-9990",
"fax_number": "413-271-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARATY",
"first_name": "KELSEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.