Tarrytown Expocare Ma, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TARRYTOWN EXPOCARE MA, LLC

Practice address

10 Walpole Park S Unit 2
Walpole, MA 02081-2523

Phone

(855) 617-7312

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Robert Meyer Jr

Title

Cfo

Phone

(512) 649-8963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tarrytown Expocare, LLC

  dba Tarrytown Expocare Pharmacy

  • Long Term Care Pharmacy
  • Austin, TX
  • NPI 1508112392

  Member Of

  NPD member

Locations

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.

• Dimitrios Sotirios Bakolas

  • Pharmacist
  • Mattapan, MA
  • NPI 1811365885
  NPD (past)
• Dina Breger

  • Pharmacist
  • Walpole, MA
  • NPI 1669283073
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1437977162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SHOAL CREEK BLVD BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WALPOLE PARK S UNIT 2",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812523",
            "telephone_number": "855-617-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN EXPOCARE MA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MEYER JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-649-8963"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall A Storm, DDS
• Carolina Suarez
• Ian Sutherland
• Jennifer Swindon
• Rushba Tariq, LMHC
• Ashley Elizabeth Tewksbury, LPN
• Noella Teylan-Cashman
• The Home for Little Wanderers
• The Home for Little Wanders, Longview Farm
• Lisa Ann Thibodeau, MED, MSOT, OTR

• Long Term Care Pharmacy in Walpole, MA
• Providers in Walpole, 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 Jul 28, 2026; 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.

Verify at the official NPI Registry.