Organization Active NPI

Integriscript, Inc.

  • Long Term Care Pharmacy
  • West Springfield, MA
National Provider Identifier
1285953992
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
DS89726 Issued in MA
Legal business name
INTEGRISCRIPT, INC.
Practice address
95 Ashley Ave Ste B
West Springfield, MA 01089-1352
Phone
(413) 750-7000
Fax
(413) 732-0519
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Andrew Kowal, RPH
Title
Director of Pharmacy
Phone
(413) 750-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X DS89726 MA Primary

Addresses

Primary practice location

95 Ashley Ave Ste B
West Springfield, MA 01089-1352

Mailing address

95 Ashley Ave Ste B
West Springfield, MA 01089-1352
Phone (413) 750-7000

Other identifiers 3

IdentifierTypeStateIssuer
1028993MedicaidVT
2125145OtherPK
110085640AMedicaidMA

Other names 1

  • IntegriScript, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000528 MA Part B Supplier - Pharmacy 5597912451 Practice locations: West Springfield, MA

National Provider Directory

National Provider Directory

Locations

95 Ashley Ave
Ste B
West Springfield, MA 01089
Phone (413) 750-7000

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": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1285953992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ASHLEY AVE STE B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891352",
            "telephone_number": "413-750-7000",
            "fax_number": "413-732-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ASHLEY AVE STE B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891352",
            "telephone_number": "413-750-7000",
            "fax_number": "413-732-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRISCRIPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "413-750-7000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "DS89726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028993",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085640A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegriScript, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.