Robert Braley, RPH
Individual provider Active NPI Pharmacist · Spencer, MA
NPI 1225313802 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1225313802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22067 (MA)
- Practice address
- 3 Nottingham Cir
Spencer, MA 01562-2944 - Phone
- (860) 368-8228
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22067 | MA | Yes |
Addresses
Primary practice location
3 Nottingham Cir
Spencer, MA 01562-2944
Mailing address
3 Nottingham Cir
Spencer, MA 01562-2944
Phone (860) 368-8228
Other providers in Spencer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 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.