Michael Arthur Gillis, PHARMD
Individual provider Active NPI Pharmacist · Clinton, MA
NPI 1346020344 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1346020344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH997169 (MA)
- Practice address
- 1031 Main St
Clinton, MA 01510-1134 - Phone
- (978) 368-8540
- NPI assigned
- Oct 5, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH997169 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH997169 | MA | Yes |
Addresses
Primary practice location
1031 Main St
Clinton, MA 01510-1134
Mailing address
12 Brookside Ave Apt 17
Worcester, MA 01602-1601
Phone (401) 636-2365
Other providers in Clinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.