Organization Active NPI

PPS of Massachusetts LLC

  • Long Term Care Pharmacy
  • Marlborough, MA
National Provider Identifier
1104778463
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PPS OF MASSACHUSETTS LLC
Practice address
165 Cedar Hill St
Marlborough, MA 01752-3035
Phone
(508) 624-8847
Fax
(508) 624-8880
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
James Matthews, RPH
Title
Coo
Phone
(609) 206-2664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

165 Cedar Hill St
Marlborough, MA 01752-3035

Mailing address

165 Cedar Hill St
Marlborough, MA 01752-3035
Phone (508) 624-8847

National Provider Directory

National Provider Directory

Locations

165 Cedar Hill St
Marlborough, MA 01752

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1104778463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CEDAR HILL ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523035",
            "telephone_number": "508-624-8847",
            "fax_number": "508-624-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CEDAR HILL ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523035",
            "telephone_number": "508-624-8847",
            "fax_number": "508-624-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPS OF MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "609-206-2664",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.