Active NPI
Apothecare of Plymouth Inc
- Long Term Care Pharmacy
- Plymouth, MA
National Provider Identifier
1487747655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 3481
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3481 | Other | MA | STATE LICENSE |
| 2241595 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 11074421A | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.