Active NPI
Joshua Robert Paine, RPH
- Pharmacist
- Gardner, MA
National Provider Identifier
1164022539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234471
- Practice address
- 677 Timpany Blvd
Gardner, MA 01440-3452 - Phone
- (978) 630-1352
- Fax
- (978) 632-2060
- NPI assigned
- Oct 27, 2020
- 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 | PH234471 | MA | Primary |
Addresses
Primary practice location
677 Timpany Blvd
Gardner, MA 01440-3452
Mailing address
9 Gristmill LN
Northborough, MA 01532-1688
Phone (617) 780-4012
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH234471 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1164022539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GRISTMILL LN",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321688",
"telephone_number": "617-780-4012",
"fax_number": "978-632-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 TIMPANY BLVD",
"city": "GARDNER",
"state": "MA",
"postal_code": "014403452",
"telephone_number": "978-630-1352",
"fax_number": "978-632-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINE",
"first_name": "JOSHUA",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.