Organization Active NPI

Perrotta'S Pharmacy

  • Community/Retail Pharmacy
  • Lawrence, MA
National Provider Identifier
1235239252
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1200 Issued in MA
Legal business name
PERROTTA'S PHARMACY
Practice address
292 Prospect St
Lawrence, MA 01841-2825
Phone
(978) 682-2557
Fax
(978) 685-7597
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Mr. Thomas Perrotta, RPH
Title
Owner/President
Phone
(978) 682-2557

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 1200 MA Primary
Compounding Pharmacy 3336C0004X 1200 MA
Long Term Care Pharmacy 3336L0003X 1200 MA

Addresses

Primary practice location

292 Prospect St
Lawrence, MA 01841-2825

Mailing address

292 Prospect St
Lawrence, MA 01841-2825
Phone (978) 682-2557

Other identifiers 1

IdentifierTypeStateIssuer
0430374MedicaidMA

Other names 1

  • Perrotta's Super Drug Doing business as

National Provider Directory

National Provider Directory

Locations

292 Prospect St
Lawrence, MA 01841
Phone (978) 682-2557

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1235239252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 PROSPECT ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412825",
            "telephone_number": "978-682-2557",
            "fax_number": "978-685-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 PROSPECT ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412825",
            "telephone_number": "978-682-2557",
            "fax_number": "978-685-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERROTTA'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "PERROTTA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-682-2557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1200",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MA",
            "license": "1200",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "1200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430374",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perrotta's Super Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.