NPIMap

Organization Active NPI

West River Pharm Inc

  • Long Term Care Pharmacy
  • Marlborough, MA
National Provider Identifier
1235316910
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3572 Issued in MA
Legal business name
WEST RIVER PHARM INC
Doing business as
WEST RIVER PHARM INC
Practice address
140 Locke Dr
Ste C
Marlborough, MA 01752-7230
Phone
(508) 573-5200
Fax
(508) 490-8560
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Brian Callahan
Title
Cfo
Phone
(508) 573-5211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 3572 MA Primary

Addresses

Primary practice location

140 Locke Dr
Ste C
Marlborough, MA 01752-7230

Mailing address

140 Locke Dr
Ste C
Marlborough, MA 01752-7230
Phone (508) 573-5200

Other identifiers 1

IdentifierTypeStateIssuer
2039746OtherPK

Other names 1

  • WEST RIVER PHARM INC Doing business as

National Provider Directory

National Provider Directory

Locations

140 Locke Dr
Ste C
Marlborough, MA 01752
Phone (508) 573-5200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1235316910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKE DR",
            "address_2": "STE C",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017527230",
            "telephone_number": "508-573-5200",
            "fax_number": "508-490-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKE DR",
            "address_2": "STE C",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017527230",
            "telephone_number": "508-573-5200",
            "fax_number": "508-490-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "508-573-5211"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST RIVER PHARM INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.