NPIMap

Organization Active NPI

Springfield Family Pharmacy, Inc

  • Community/Retail Pharmacy
  • Springfield, MA
National Provider Identifier
1417363516
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89925 Issued in MA
Legal business name
SPRINGFIELD FAMILY PHARMACY, INC
Practice address
175 Carew St
Suite 100
Springfield, MA 01104
Phone
(413) 209-8043
Fax
(413) 301-8493
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Matt Moen, PHARMD
Title
VP of Pharmacy Operations
Phone
(508) 755-4173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89925 MA Primary

Addresses

Primary practice location

175 Carew St
Suite 100
Springfield, MA 01104

Mailing address

175 Carew St
Suite 100
Springfield, MA 01104
Phone (413) 209-8043

National Provider Directory

National Provider Directory

Locations

175 Carew St
#100
Springfield, MA 01104
Phone (413) 301-8493

175 Carew St
Ste 100
Springfield, MA 01104
Phone (413) 209-8043

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1417363516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAREW ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-209-8043",
            "fax_number": "413-301-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAREW ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-209-8043",
            "fax_number": "413-301-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FAMILY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VP OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "508-755-4173",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.