John Michael Alexander
Individual provider Active NPI Pharmacist · Springfield, MA
NPI 1184906604 · NPPES record last updated Sep 10, 2011
Key facts
- NPI
- 1184906604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- MA20639 (MA)
- Practice address
- 707 State St
Springfield, MA 01109-4109 - Phone
- (413) 731-6410
- NPI assigned
- Sep 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| MA20639 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | MA20639 | MA | Yes |
Addresses
Primary practice location
707 State St
Springfield, MA 01109-4109
Mailing address
118 Lincoln St
Holyoke, MA 01040-2559
Phone (413) 887-4567
Other providers in Springfield, MA
- Samantha Alejandro
- Aleska Pelaez Acosta MD Pediatrics PC
- Brandy Alexander Zuber
- Albert I. Alexander IV
- Jacob Alexander
- Kishana Alexander
- Tamika Nicole Alexander
- Karlbuto Alexandre
- Evens Alexis
- Amy Alfano
All providers in Springfield, MA · Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2011. 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.