Justin Morgan
Individual provider Active NPI Pharmacist · Harwich, MA
NPI 1164027611 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1164027611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH24348 (MA)
- Practice address
- 111 Route 137
Harwich, MA 02645-2153 - Phone
- (508) 432-5001
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH24348 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company, LLC | Current |
Accepting new patients |
Locations
111 Route 137
Harwich, MA 02645
Phone (508) 432-5001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH24348 | MA | Yes |
Addresses
Primary practice location
111 Route 137
Harwich, MA 02645-2153
Mailing address
111 Route 137
Harwich, MA 02645-2153
Phone (508) 432-5001
Other providers in Harwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.