Fitchburg Family Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS89926 Issued in MA

Legal business name

FITCHBURG FAMILY PHARMACY, INC

Practice address

326 Nichols Rd
Fitchburg, MA 01420-1914

Phone

(978) 878-8465

Fax

(978) 343-5577

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Daniel Jimenez

Title

Cfo

Phone

(508) 755-4173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1174930846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052627",
            "telephone_number": "508-755-4173",
            "fax_number": "508-755-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8465",
            "fax_number": "978-343-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG FAMILY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "508-755-4173"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitchburg Adult Medicine LLC
• Fitchburg Chiropractic Health Clinic
• Fitchburg Comprehensive Treatment Center
• Fitchburg Comprehensive Treatment Center Opioid Use Disorder Program
• Fitchburg Dental PC
• Fitchburg Gardens for Nursing and Rehabilitation LLC
• Fitchburg Pediatrics, P.C.
• Fitchburg Rehabilitation and Nursing Center LLC
• Fitchburg Smiles
• Fitchburg Smiles, PLLC

• Community/Retail Pharmacy in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.