NPIMap

Organization Active NPI

Pepperell Pharmacy Inc

Doing business as Pepperell Family Pharmacy - Long Term Care

  • Long Term Care Pharmacy
  • Pepperell, MA
National Provider Identifier
1174049555
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
CS3541 Issued in MA
Legal business name
PEPPERELL PHARMACY INC
Doing business as
Pepperell Family Pharmacy - Long Term Care
Pepperell Family Pharmacy
Practice address
74 Main St
Pepperell, MA 01463-1560
Phone
(978) 433-6130
Fax
(978) 433-1881
NPI assigned
Aug 17, 2017
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PEPPERELL PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracie Ezzio, RPH
Title
Owner
Phone
(978) 433-6130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X CS3541 MA Primary

Addresses

Primary practice location

74 Main St
Pepperell, MA 01463-1560

Mailing address

74 Main St
Pepperell, MA 01463-1560
Phone (978) 433-6130

Other names 2

  • PEPPERELL FAMILY PHARMACY - LONG TERM CARE Doing business as
  • Pepperell Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pepperell Family Pharmacy2 organizations share this tax ID, including this one
Part of
Pepperell Family Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1174049555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631560",
            "telephone_number": "978-433-6130",
            "fax_number": "978-433-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631560",
            "telephone_number": "978-433-6130",
            "fax_number": "978-433-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERELL PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEPPERELL PHARMACY INC",
        "enumeration_date": "2017-08-17",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "EZZIO",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-433-6130",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "CS3541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEPPERELL FAMILY PHARMACY - LONG TERM CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pepperell Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pepperell Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pepperell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.