Individual provider Active NPI

Donald Carl Bjorklund

  • Pharmacist
  • Agawam, MA
National Provider Identifier
1407145113
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16210 Issued in MA
Practice address
17 Springfield St
Agawam, MA 01001-1521
Phone
(413) 786-6060
Fax
(413) 789-3368
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16210 MA Primary

Addresses

Primary practice location

17 Springfield St
Agawam, MA 01001-1521

Mailing address

17 Springfield St
Agawam, MA 01001-1521
Phone (413) 786-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1407145113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SPRINGFIELD ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011521",
            "telephone_number": "413-786-6060",
            "fax_number": "413-789-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SPRINGFIELD ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011521",
            "telephone_number": "413-786-6060",
            "fax_number": "413-789-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORKLUND",
        "first_name": "DONALD",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "16210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.