Active NPI
Stat-Care Pharmacy, LLC
- Long Term Care Pharmacy
- North Grafton, MA
National Provider Identifier
1134165749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 2717
- Legal business name
- STAT-CARE PHARMACY, LLC
- Practice address
- 198 Worcester St
North Grafton, MA 01536-1578 - Phone
- (508) 839-1221
- Fax
- (508) 839-0097
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen J Penney, R.PH., MBA
- Title
- Partner
- Phone
- (508) 839-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 2717 | MA | Primary |
Addresses
Primary practice location
198 Worcester St
North Grafton, MA 01536-1578
Mailing address
198 Worcester St
North Grafton, MA 01536-1578
Phone (508) 839-1221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2236708 | Other | MA | NABP# |
| 0445959 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
198 Worcester St
North Grafton, MA 01536
Phone (508) 839-1221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1134165749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 WORCESTER ST",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361578",
"telephone_number": "508-839-1221",
"fax_number": "508-839-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 WORCESTER ST",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361578",
"telephone_number": "508-839-1221",
"fax_number": "508-839-0097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT-CARE PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PENNEY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "508-839-1221",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH., MBA"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MA",
"license": "2717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP#",
"identifier": "2236708",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445959",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Grafton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.