Village Pharmacy of Marblehead Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9701 Issued in MA

Legal business name

VILLAGE PHARMACY OF MARBLEHEAD INC.

Practice address

1 Village PLZ
Marblehead, MA 01945-2373

Phone

(781) 631-8100

Fax

(781) 639-2919

NPI assigned

Aug 3, 2006

Last updated

Aug 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elliot StrasnickNPI 1093728354

Title

Owner and President

Phone

(781) 631-8100

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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.

• Elliot Marvin Strasnick, PHARMACIST

  • Pharmacist
  • Marblehead, MA
  • NPI 1093728354
  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1184631749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE PLZ",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452373",
            "telephone_number": "781-631-8100",
            "fax_number": "781-639-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE PLZ",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452373",
            "telephone_number": "781-631-8100",
            "fax_number": "781-639-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY OF MARBLEHEAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "STRASNICK",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "781-631-8100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "9701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418099",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2209701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet C. Todaro
• Teresa Toto, LICSW
• Town of Marblehead
• Town of Marblehead
• James Trick, RDO
• Richard Vonrueden, M.D.
• Tammy Lora Waite, TAMMY WAITE, LIC. AC
• Cynthia Walendziewicz Brooks, MD
• Cheryl Wall, RN BSN CFCN
• Matthew A Wallen

• Community/Retail Pharmacy in Marblehead, MA
• Providers in Marblehead, 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 Aug 6, 2012; 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.