Timothy S Graham, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH20398 Issued in MA

Practice address

173 Elm St
Pittsfield, MA 01201

Phone

(413) 445-5567

Fax

(413) 448-6122

NPI assigned

Aug 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• T.&C. Flynns Pharmacy Inc

  • Community/Retail Pharmacy
  • Pittsfield, MA
  • NPI 1003990698
  NPD (past)
• T.&C. Flynns Pharmacy Inc

  • Long Term Care Pharmacy
  • Pittsfield, MA
  • NPI 1518484260
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1124377726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HOLMES RD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "01240",
            "telephone_number": "413-448-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-445-5567",
            "fax_number": "413-448-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH20398",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "3053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Gosselin
• Jon R Gotterer, D.M.D.
• Jagathi Deepthi Govindu, MD
• Emily Grabowski
• Katie Jean Grady, SLP
• Jessica Grant, CNM
• Melinda N Grant
• Gray Matters Therapy & Consulting, LLC.
• Mackenzie Gray, LCSW
• Molly Margaret Greason-Magee, CNM

• Pharmacist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.