Organization Active NPI

Auburn Apothecary LLC

  • Community/Retail Pharmacy
  • Auburn, MA
National Provider Identifier
1144730854
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AUBURN APOTHECARY LLC
Practice address
689 Southbridge St
Auburn, MA 01501-1833
Phone
(774) 922-3904
NPI assigned
Oct 7, 2017
Last updated
Mar 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vrushank PatelNPI 1821527185
Title
Member
Phone
(774) 922-3904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

689 Southbridge St
Auburn, MA 01501-1833

Mailing address

4 Tannery Rd
Fiskdale, MA 01518-1171
Phone (774) 922-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024000812 MA Part B Supplier - Mass Immunization (Roster Biller Only) 1557614310 Practice locations: Auburn, MA

National Provider Directory

National Provider Directory
Tax ID family
Auburn Apothecary LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

689 Southbridge St
Auburn, MA 01501
Phone (508) 832-6511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1144730854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TANNERY RD",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181171",
            "telephone_number": "774-922-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011833",
            "telephone_number": "774-922-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VRUSHANK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "774-922-3904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.