NPIMap

Organization Active NPI

Cape Cod Healthcare Inc

Doing business as Cape Cod Healthcare Pharmacy at Cape Cod Hospital

  • Community/Retail Pharmacy
  • Hyannis, MA
National Provider Identifier
1457713232
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS90036 Issued in MA
Legal business name
CAPE COD HEALTHCARE INC
Doing business as
Cape Cod Healthcare Pharmacy at Cape Cod Hospital
Practice address
27 Park St
Hyannis, MA 02601-5230
Phone
(508) 862-5900
Fax
(508) 862-5877
NPI assigned
Mar 22, 2016
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Angela Medeiros
Title
Pharmacy Operations Manager
Phone
(774) 392-3328

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS90036 MA Primary

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 names 1

  • Cape Cod Healthcare Pharmacy at Cape Cod Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cape Cod HospitalHyannis, MA, CCN 220012 Hospital 5% Or Greater Direct Ownership Interest (100%) May 23, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1457713232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-862-5900",
            "fax_number": "508-862-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-862-5900",
            "fax_number": "508-862-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "774-392-3328"
    },
    "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": "DS90036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod Healthcare Pharmacy at Cape Cod Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.