NPIMap

Organization Active NPI

Greater Lawrence Family Health Center, Inc.

  • Community/Retail Pharmacy
  • Lawrence, MA
National Provider Identifier
1306989702
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS3364 Issued in MA
Legal business name
GREATER LAWRENCE FAMILY HEALTH CENTER, INC.
Practice address
34 Haverhill St
Lawrence, MA 01841-2884
Phone
(978) 688-1567
Fax
(978) 688-6314
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Zandra S.W. Kelley
Title
Ceo
Phone
(978) 686-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS3364 MA Primary

Addresses

Primary practice location

34 Haverhill St
Lawrence, MA 01841-2884

Mailing address

1 Griffin Brook Dr Ste 101
Suite 101
Methuen, MA 01844-1865
Phone (978) 689-6635

Other identifiers 2

IdentifierTypeStateIssuer
2039514OtherPK
110020863AMedicaidMA

Other names 1

  • Greater Lawrence Family Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915000677 MA Part B Supplier - Pharmacy 0446221956 Practice locations: Lawrence, MA

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1306989702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRIFFIN BROOK DR STE 101",
            "address_2": "SUITE 101",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441865",
            "telephone_number": "978-689-6635",
            "fax_number": "978-722-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HAVERHILL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412884",
            "telephone_number": "978-688-1567",
            "fax_number": "978-688-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAWRENCE FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_middle_name": "S.W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-686-0090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039514",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020863A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Lawrence Family Health Center",
            "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 Oct 6, 2025; 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.