Active NPI
Lucy Maserejian, RPH
- Pharmacist
- Concord, MA
National Provider Identifier
1124435656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24058
- Practice address
- 1212 Main St
Concord, MA 01742-3008 - Phone
- (978) 369-3100
- NPI assigned
- Jul 16, 2014
- Reactivated
- Feb 26, 2021
- Last updated
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3187 | NH | |
| Pharmacist | 183500000X | 24058 | MA | Primary |
Addresses
Primary practice location
1212 Main St
Concord, MA 01742-3008
Mailing address
1212 Main St
Concord, MA 01742-3008
Phone (978) 369-3100
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24058 | MA | MD | Pharmacist |
| 3187 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1124435656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 MAIN ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423008",
"telephone_number": "978-369-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MAIN ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423008",
"telephone_number": "978-369-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASEREJIAN",
"first_name": "LUCY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"deactivation_date": "2015-10-30",
"reactivation_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3187",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "24058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
- Martin J Kafina MD Facp Facr
- Laura Elizabeth Martin
- Kacie Martines
- Roger John Martinkus Jr., PMHNP-BC, MSN, RN
- Marvin H. Kendrick, MD, PC
- Mass Assoc in Podiatry
- Mass General Brigham Community Physicians Inc.
- Mass Lung & Allergy PC
- Massachusetts Ear Nose and Throat Associates 2 LLC
- Katina Matheos, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.