Stephanie Aryee
Individual provider Active NPI Pharmacist · Brockton, MA
NPI 1174128490 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1174128490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH237919 (MA)
- Practice address
- 63 Main Street
CVS Pharmacy Floor 1
Brockton, MA 02301 - Phone
- (508) 513-1414
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PH237919 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH237919 | MA | Yes |
Addresses
Primary practice location
63 Main Street
CVS Pharmacy Floor 1
Brockton, MA 02301
Mailing address
63 Main Street
CVS Pharmacy Floor 1
Brockton, MA 02301
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 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.