Century Pharmacy
Organization Active NPI Pharmacy · Lowell, MA
NPI 1154660223 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1154660223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- CENTURY PHARMACY
- Practice address
- 937 Gorham St
Lowell, MA 01852-4635 - Phone
- (978) 455-7554
- NPI assigned
- Feb 8, 2013
- Organization subpart
- No
Authorized official
- Name
- Liliya Bespalko
- Title
- Owner
- Phone
- (978) 455-6554
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210326000079 | MA | Part B Supplier - Pharmacy | 3971801036 | Practice locations: Lowell, MA |
National Provider Directory
Locations
937 Gorham St
Lowell, MA 01852
Phone (978) 455-6554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
937 Gorham St
Lowell, MA 01852-4635
Mailing address
937 Gorham St
Lowell, MA 01852-4635
Phone (978) 455-6554
Other names
- century pharmacy
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.