Price Chopper Operating Co of Mass Inc
Organization Active NPI Community/Retail Pharmacy · Pittsfield, MA
NPI 1154434231 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1154434231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2526 (MA)
- Legal business name
- PRICE CHOPPER OPERATING CO OF MASS INC
- Practice address
- 555 Hubbard Ave
Pittsfield, MA 01201-3876 - Phone
- (413) 496-9332
- Fax
- (419) 496-9334
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathleen Bryant
- Title
- VP of Pharmacy
- Phone
- (518) 379-1122
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Member of 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Price Chopper Operating Co of Mass |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090724000082 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547312431 |
7 other NPIs on this enrollment Practice locations: Sutton, MA; Worcester, MA; Webster, MA; Shrewsbury, MA; Pittsfield, MA; Great Barrington, MA; Gardner, MA |
| O20100930053179 | MA | DME Supplier - Pharmacy | 0547312431 | Practice locations: Pittsfield, MA |
National Provider Directory
- Tax ID family
- Price Chopper Operating Co of Mass Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2526 | MA | Yes |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
555 Hubbard Ave
Pittsfield, MA 01201-3876
Mailing address
461 Nott St
MB#202
Schenectady, NY 12308-1812
Phone (518) 379-1618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037861 | Other | PK | |
| 0443964 | Medicaid | MA |
Other names
- PRICE CHOPPER PHARMACY
Other providers in Pittsfield, MA
- Premier Home Health Care of Massachusetts Inc
- Debrecca Pressey
- Michael Preston
- Preventive Medicine Associates
- Julia Pribgle-Wallace
- Amy Price
- Janice Pride-Boone
- Rosa Prince
- Joselyn Lucia Proano Bastidas
- Sylvana Proano
All providers in Pittsfield, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.