NPIMap

Organization Active NPI

Apothecare Pharmacy LLC

  • Long Term Care Pharmacy
  • Brockton, MA
National Provider Identifier
1104868983
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
DS89820 Issued in MA
Legal business name
APOTHECARE PHARMACY LLC
Practice address
629 Centre St
Brockton, MA 02302-3307
Phone
(508) 588-6800
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Thomas McKinney
Title
Ceo
Phone
(508) 588-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X DS89820 MA Primary

Addresses

Primary practice location

629 Centre St
Brockton, MA 02302-3307

Mailing address

623 Centre St
Brockton, MA 02302-3307
Phone (508) 588-6800

Other identifiers 1

IdentifierTypeStateIssuer
2136215OtherPK

Other names 1

  • Apothecare South Shore Doing business as

National Provider Directory

National Provider Directory

Locations

629 Centre St
Brockton, MA 02302
Phone (508) 588-6800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1104868983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023307",
            "telephone_number": "508-588-6800",
            "fax_number": "508-588-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023307",
            "telephone_number": "508-588-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-588-6800"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "DS89820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecare South Shore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apothecare South Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.