Gardner Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS89951 Issued in MA

Legal business name

GARDNER FAMILY PHARMACY INC

Practice address

175 Connors St
Gardner, MA 01440-2637

Phone

(978) 730-8393

Fax

(978) 730-8539

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By 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

Matt Moen, PHARMD

Title

VP of Pharmacy Operations

Phone

(508) 755-4173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1215326632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CONNORS ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402637",
            "telephone_number": "978-730-8393",
            "fax_number": "978-730-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CONNORS ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402637",
            "telephone_number": "978-730-8393",
            "fax_number": "978-730-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VP OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "508-755-4173",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardner Emergency Medical Services Inc
• Gardner Eye Associates Inc
• Gardner Family Chiropractic Inc.
• Gardner Family Dental Care, LLC
• Gardner Family Medicine, Inc.
• Gardner Operations LLC
• Gardner Smiles PLLC (Gardner Smiles)
• Gardner Visiting Nursing Association Inc
• Francis Anthony Garofalo, M.D.
• Jenna Garozzo, PA-C

• Community/Retail Pharmacy in Gardner, MA
• Providers in Gardner, 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 Jan 22, 2015; 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.