Peter Harenberg, PHARMD, RPH
Individual provider Active NPI Pharmacist · Holbrook, MA
NPI 1134879570 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1134879570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH240700 (MA)
- Practice address
- 1 Plymouth St
Holbrook, MA 02343-1510 - Phone
- (780) 986-2172
- Fax
- (781) 986-2118
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH240700 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240700 | MA | Yes |
Addresses
Primary practice location
1 Plymouth St
Holbrook, MA 02343-1510
Mailing address
1 Plymouth St
Holbrook, MA 02343-1510
Phone (781) 986-2172
Other practice location 1
250 Bayport Ave
Bayport, NY 11705-1853
Phone (631) 553-6349
Other providers in Holbrook, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.