Simardeep Singh, PHARM D

Individual provider Active NPI Pharmacist · Stoughton, MA

NPI 1386076503 · NPPES record last updated Aug 17, 2023

Key facts

NPI
1386076503
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
058157 (NY)
Practice address
100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749
Phone
(781) 566-5066
NPI assigned
Jul 30, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
058157NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC Past Accepting new patients
Genoa Healthcare LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 058157 NY Yes

Addresses

Primary practice location

100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749

Mailing address

255 New York Ave
Bay Shore, NY 11706-3311
Phone (631) 974-3481

Other providers in Stoughton, MA

All providers in Stoughton, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.