Active NPI
Peter Harenberg, PHARMD, RPH
- Pharmacist
- Holbrook, MA
National Provider Identifier
1134879570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240700
- Practice address
- 1 Plymouth St
Holbrook, MA 02343-1510 - Phone
- (780) 986-2172
- Fax
- (781) 986-2118
- NPI assigned
- Mar 28, 2022
- Last updated
- Dec 19, 2022
- Sex
- Male
- 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 | PH240700 | MA | Primary |
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
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
- 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 |
Organizations & group practices 2
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": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1134879570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PLYMOUTH ST",
"city": "HOLBROOK",
"state": "MA",
"postal_code": "023431510",
"telephone_number": "781-986-2172",
"fax_number": "781-986-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PLYMOUTH ST",
"city": "HOLBROOK",
"state": "MA",
"postal_code": "023431510",
"telephone_number": "780-986-2172",
"fax_number": "781-986-2118"
}
],
"practiceLocations": [
{
"address_1": "250 Bayport Ave",
"address_purpose": "LOCATION",
"city": "Bayport",
"state": "NY",
"postal_code": "117051853",
"country_code": "US",
"telephone_number": "631-553-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARENBERG",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holbrook, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.