Cape Cod Healthcare Inc
Organization Active NPI Community/Retail Pharmacy · Hyannis, MA
NPI 1457713232 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1457713232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- DS90036 (MA)
- Legal business name
- CAPE COD HEALTHCARE INC
- Practice address
- 27 Park St
Hyannis, MA 02601-5230 - Phone
- (508) 862-5900
- Fax
- (508) 862-5877
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Angela Medeiros
- Title
- Pharmacy Operations Manager
- Phone
- (774) 392-3328
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Member organizations 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Cape Cod Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 23, 1984 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170222000392 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648320887 |
3 other NPIs on this enrollment Practice locations: Falmouth, MA; Hyannis, MA |
| O20190429002250 | MA | DME Supplier - Pharmacy | 0648320887 | Practice locations: Hyannis, MA |
National Provider Directory
- Tax ID family
- Cape Cod Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | DS90036 | MA | Yes |
Addresses
Primary practice location
27 Park St
Hyannis, MA 02601-5230
Mailing address
27 Park St
Hyannis, MA 02601-5230
Phone (508) 862-5900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158926 | Other | PK | |
| 110108134C | Medicaid | MA |
Other names
- Cape Cod Healthcare Pharmacy at Cape Cod Hospital
Other providers in Hyannis, MA
- Cape Cod Hand Therapy Limited Partnership
- Cape Cod Health Network LLC
- Cape Cod Healthcare
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Inc.
- Cape Cod Healthcare Physicians
- Cape Cod Healthcare, Inc
- Cape Cod Hearing Center
All providers in Hyannis, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.