Active NPI
Mary Anne Depippo
- Pharmacist
- Georgetown, MA
National Provider Identifier
1124623152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24671
- Practice address
- 65 Central St
Georgetown, MA 01833-2425 - Phone
- (978) 352-8540
- NPI assigned
- Nov 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24671 | MA | Primary |
Addresses
Primary practice location
65 Central St
Georgetown, MA 01833-2425
Mailing address
65 Central St
Georgetown, MA 01833-2425
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rx2177@cvshealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24671 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1124623152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CENTRAL ST",
"city": "GEORGETOWN",
"state": "MA",
"postal_code": "018332425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 CENTRAL ST",
"city": "GEORGETOWN",
"state": "MA",
"postal_code": "018332425",
"telephone_number": "978-352-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPIPPO",
"first_name": "MARY",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "24671",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rx2177@cvshealth.com",
"affiliation": "N",
"address_1": "65 Central St",
"city": "Georgetown",
"state": "MA",
"country_code": "US",
"postal_code": "018332425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Georgetown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.