Organization Active NPI

Stat-Care Pharmacy, LLC

  • Long Term Care Pharmacy
  • North Grafton, MA
National Provider Identifier
1134165749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2717 Issued in MA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2236708OtherMANABP#
0445959MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.