Active NPI
Garrett Joseph Cavanaugh, R.PH.
- Pharmacist
- West Springfield, MA
National Provider Identifier
1164741633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22220
- Practice address
- 99 Westfield St
Rite Aid District Office
West Springfield, MA 01089-2550 - Phone
- (413) 737-6419
- Fax
- (413) 733-7374
- NPI assigned
- May 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22220 | MA | Primary |
| Pharmacist | 183500000X | 7979 | CT |
Addresses
Primary practice location
99 Westfield St
Rite Aid District Office
West Springfield, MA 01089-2550
Mailing address
99 Westfield St
Rite Aid District Office
West Springfield, MA 01089-2550
Phone (413) 737-6419
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 |
|---|---|---|---|
| 22220 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1164741633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WESTFIELD ST",
"address_2": "RITE AID DISTRICT OFFICE",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010892550",
"telephone_number": "413-737-6419",
"fax_number": "413-733-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WESTFIELD ST",
"address_2": "RITE AID DISTRICT OFFICE",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010892550",
"telephone_number": "413-737-6419",
"fax_number": "413-733-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "GARRETT",
"middle_name": "JOSEPH",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "22220",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "7979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.