Athol Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ATHOL PHARMACY, LLC

Doing business as

Athol Pharmacy

Practice address

290 Main St
Athol, MA 01331-2226

Phone

(978) 830-0427

Fax

(978) 830-0430

NPI assigned

Nov 7, 2016

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Macneill, RPH

Title

President

Phone

(978) 830-0427

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Athol Pharmacy Doing business as

Tax ID family

Athol Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Athol Pharmacy, LLC

  dba Athol Pharmacy

  • Community/Retail Pharmacy
  • Athol, MA
  • NPI 1225717861
  NPD tax ID

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.

• David Dyke, PHARMD, RPH

  • Pharmacist
  • Athol, MA
  • NPI 1467082321
  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1407398589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312226",
            "telephone_number": "978-830-0427",
            "fax_number": "978-830-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312226",
            "telephone_number": "978-830-0427",
            "fax_number": "978-830-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHOL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2024-05-31",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-830-0427",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS90085",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athol Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athol Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athol Memorial Hospital Incorporated (Tully Family Medicine)
• Athol Memorial Hospital Incorporated
• Athol Memorial Hospital Incorporated (Athol Memorial Hospital)
• Athol Memorial Hospital Incorporated (Athol Primary Care)
• Athol Pharmacy, LLC (Athol Pharmacy)
• Athol Royalston Regional School District
• Minsub Ban, DDS
• Colleen Ada Bannister
• Ying Bao
• Katrina Brooke Barnes, LPN

• Long Term Care Pharmacy in Athol, MA
• Providers in Athol, MA by specialty
• Long Term Care Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.