NPIMap

Organization Active NPI

Umass Memorial Medical Center, Inc.

  • Community/Retail Pharmacy
  • Worcester, MA
National Provider Identifier
1366714529
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UMASS MEMORIAL MEDICAL CENTER, INC.
Practice address
55 Lake Ave N
Acc Building - 1St Floor - Suite Ac1.033
Worcester, MA 01655-0002
Phone
(888) 639-3988
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Brian S Smith, PHARM.D.
Title
Director, Specialty Pharmacy
Phone
(888) 639-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

55 Lake Ave N
Acc Building - 1St Floor - Suite Ac1.033
Worcester, MA 01655-0002

Mailing address

55 Lake Ave N
Acc Building - 1St Floor - Suite Ac1.033
Worcester, MA 01655-0002
Phone (888) 639-3988

Other names 1

  • UMass Memorial Medical Center Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Umass Memorial Medical Center Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

55 Lake Ave N
Bldg 1ST
Worcester, MA 01655
Phone (888) 639-3988

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1366714529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "ACC BUILDING - 1ST FLOOR - SUITE AC1.033",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "888-639-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "ACC BUILDING - 1ST FLOOR - SUITE AC1.033",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "888-639-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR, SPECIALTY PHARMACY",
        "authorized_official_telephone_number": "888-639-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMass Memorial Medical Center Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.