Active NPI
Essentialrx
- Community/Retail Pharmacy
- Worcester, MA
National Provider Identifier
1417394925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ESSENTIALRX
- Doing business as
- Essentialrx
- Practice address
- 123 Summer St
Suite 365
Worcester, MA 01608-1216 - Phone
- (508) 363-6602
- NPI assigned
- May 24, 2013
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kerry L Sam, PHARMD
- Title
- Pharmacy Manager
- Phone
- (508) 363-6602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
123 Summer St
Suite 365
Worcester, MA 01608-1216
Mailing address
123 Summer St
Suite 365
Worcester, MA 01608-1216
Phone (508) 363-6602
Other names 1
- ESSENTIALRX
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | noreply@direct.tenet-svh.masshiway.net | Direct | |
| Direct Messaging Address | stvincenthospital@direct.vanguard.masshiway.net | Direct | |
| Direct Messaging Address | stvincenthospital@direct.stvincenthospital.masshiway.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210416001142 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456769207 | Practice locations: Worcester, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Essentialrx
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
123 Summer St
Ste 365
Worcester, MA 01608
Phone (508) 363-6602
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Worcester, MA
- NPI 1124300728
-
- Pharmacist
- Worcester, MA
- NPI 1518602960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1417394925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 365",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 365",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIALRX",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-24",
"last_updated": "2023-03-07",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "SAM",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "508-363-6602",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "noreply@direct.tenet-svh.masshiway.net",
"affiliation": "N",
"endpointDescription": "Sending Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "123 Summer St",
"address_2": "Suite 365",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016081216",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stvincenthospital@direct.vanguard.masshiway.net",
"affiliation": "N",
"endpointDescription": "Receiving Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "123 Summer St",
"address_2": "Suite 365",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016081216",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stvincenthospital@direct.stvincenthospital.masshiway.net",
"affiliation": "N",
"endpointDescription": "Receiving (XDR Not yet in use) Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "123 Summer St",
"address_2": "Suite 365",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016081216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ESSENTIALRX",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.