Nicole Cruz
Individual provider Active NPI Pharmacist · Groton, MA
NPI 1104759075 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1104759075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH240391 (MA)
- Practice address
- 106 Boston Rd
Groton, MA 01450-1860 - Phone
- (978) 448-5249
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240391 | MA | Yes |
Addresses
Primary practice location
106 Boston Rd
Groton, MA 01450-1860
Mailing address
267 Arlington St
Acton, MA 01720-2246
Other providers in Groton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.