Active NPI
Springfield Pharmacy LLC
- Community/Retail Pharmacy
- Holyoke, MA
National Provider Identifier
1316556012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SPRINGFIELD PHARMACY LLC
- Practice address
- 284 High St
Holyoke, MA 01040-6516 - Phone
- (413) 261-6664
- NPI assigned
- Jul 28, 2020
- Organization subpart
- Yes
- Parent organization
- SPRINGFIELD PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Wu
- Title
- Co-Owner
- Phone
- (413) 266-3426
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
284 High St
Holyoke, MA 01040-6516
Mailing address
2547 Main St Ste 105
Springfield, MA 01107-1935
Phone (413) 266-3462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190829002031 | MA | Part B Supplier - Pharmacy | 3476888108 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, MA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Springfield Pharmacy LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Shelburne Falls, MA
- NPI 1578169140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1316556012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 MAIN ST STE 105",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071935",
"telephone_number": "413-266-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 HIGH ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010406516",
"telephone_number": "413-261-6664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPRINGFIELD PHARMACY LLC",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "413-266-3426"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.