Organization Active NPI

Cape Ann Stores Inc

Doing business as Allens Pharmacy

  • Community/Retail Pharmacy
  • Manchester, MA
National Provider Identifier
1407952831
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2520 Issued in MA
Legal business name
CAPE ANN STORES INC
Doing business as
Allens Pharmacy
Practice address
40 Beach St
Unit G
Manchester, MA 01944-1468
Phone
(978) 526-1321
Fax
(978) 526-1190
NPI assigned
Sep 15, 2006
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Jay Sibulkin
Title
President
Phone
(978) 526-1321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2520 MA Primary

Addresses

Primary practice location

40 Beach St
Unit G
Manchester, MA 01944-1468

Mailing address

40 Beach St
Unit G
Manchester, MA 01944-1468
Phone (978) 526-1321

Other identifiers 3

IdentifierTypeStateIssuer
0447064MedicaidMA
0423882MedicaidMA
2039139OtherPK

Other names 1

  • ALLENS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

40 Beach St
Unit G
Manchester, MA 01944
Phone (978) 526-1321

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1407952831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "UNIT G",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-1321",
            "fax_number": "978-526-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "UNIT G",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-1321",
            "fax_number": "978-526-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE ANN STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "SIBULKIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-526-1321"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "2520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447064",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423882",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLENS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.