Organization Active NPI

Apothecare of Plymouth Inc

  • Long Term Care Pharmacy
  • Plymouth, MA
National Provider Identifier
1487747655
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3481 Issued in MA
Legal business name
APOTHECARE OF PLYMOUTH INC
Practice address
121 Camelot Dr Ste 3
Plymouth, MA 02360-3037
Phone
(508) 732-9700
Fax
(508) 732-9788
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Susan Nelson, RPH
Title
Pharmacy Manager
Phone
(508) 732-9700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3481 MA
Community/Retail Pharmacy 3336C0003X 3481 MA
Compounding Pharmacy 3336C0004X 3481 MA
Long Term Care Pharmacy 3336L0003X 3481 MA Primary

Addresses

Primary practice location

121 Camelot Dr Ste 3
Plymouth, MA 02360-3037

Mailing address

121 Camelot Dr Ste 3
Plymouth, MA 02360-3037
Phone (508) 732-9700

Other identifiers 3

IdentifierTypeStateIssuer
3481OtherMASTATE LICENSE
2241595OtherNCPDP PROVIDER IDENTIFICATION NUMBER
11074421AMedicaidMA

National Provider Directory

National Provider Directory

Locations

121 Camelot Dr
Ste 3
Plymouth, MA 02360
Phone (508) 732-9700

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1487747655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CAMELOT DR STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603037",
            "telephone_number": "508-732-9700",
            "fax_number": "508-732-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CAMELOT DR STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603037",
            "telephone_number": "508-732-9700",
            "fax_number": "508-732-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARE OF PLYMOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "508-732-9700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "3481",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3481",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MA",
            "license": "3481",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "3481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3481",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2241595",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11074421A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.