Active NPI
Integriscript, Inc.
- Long Term Care Pharmacy
- West Springfield, MA
National Provider Identifier
1285953992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- DS89726
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028993 | Medicaid | VT | |
| 2125145 | Other | PK | |
| 110085640A | Medicaid | MA |
Other names 1
- IntegriScript, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120828000528 | MA | Part B Supplier - Pharmacy | 5597912451 | Practice locations: West Springfield, MA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- West Springfield, MA
- NPI 1912249368
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.