Active NPI
Stephen M Goldberg, RPH
- Pharmacist
- Lynn, MA
National Provider Identifier
1477144053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH16060
- Practice address
- Stop and Shop Pharmacy
35 Washington St
Lynn, MA 01901 - Phone
- (781) 596-1882
- NPI assigned
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH16060 | MA | Primary |
Addresses
Primary practice location
Stop and Shop Pharmacy
35 Washington St
Lynn, MA 01901
Mailing address
16 Rocky Hill Cir
Danvers, MA 01923-1755
Phone (978) 777-1557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH16060 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1477144053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROCKY HILL CIR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231755",
"telephone_number": "978-777-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STOP AND SHOP PHARMACY",
"address_2": "35 WASHINGTON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "01901",
"telephone_number": "781-596-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH16060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.