County Square Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15805 Issued in MA

Legal business name

COUNTY SQUARE PHARMACY INC

Practice address

289 County St
Attleboro, MA 02703-3512

Phone

(508) 222-7620

Fax

(508) 226-7823

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Abram Samir Agayby

Title

President

Phone

(508) 742-8773

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

County Square Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County Square Pharmacy Inc

  • Long Term Care Pharmacy
  • Attleboro, MA
  • NPI 1972266716
  NPD tax ID

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1215034921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COUNTY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 COUNTY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033512",
            "telephone_number": "508-222-7620",
            "fax_number": "508-226-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "AGAYBY",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-742-8773"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "15805",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2215805",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422126",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Corrigan, PMHNP
• Kristen Marie Cortes, FNP-C
• Gino Cosimini
• Debra Ann Costa, LICSW
• Jane Costello
• County Square Pharmacy Inc
• Courtney Ann Cousineau
• Shannon Couto
• Alicia Covell, PT, DPT
• Gary Mark Crank

• Community/Retail Pharmacy in Attleboro, MA
• Providers in Attleboro, 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 Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.