Packard Medical Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

373 Issued in MA

Legal business name

PACKARD MEDICAL PHARMACY, INC.

Doing business as

Packard Pharmacy

Practice address

128 Parker St
Lawrence, MA 01843-1537

Phone

(978) 682-5122

Fax

(978) 794-3061

NPI assigned

Sep 1, 2006

Last updated

May 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Robin Desmet, RPHNPI 1255928073

Title

Owner President

Phone

(978) 682-5122

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Packard Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Desmet, RPH

  • Pharmacist
  • Lawrence, MA
  • NPI 1255928073
  NPD Authorized official
• Richard Paul Sidie

  • Pharmacist
  • Lawrence, MA
  • NPI 1255953097
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1487756664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PARKER ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431537",
            "telephone_number": "978-682-5122",
            "fax_number": "978-794-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PARKER ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431537",
            "telephone_number": "978-682-5122",
            "fax_number": "978-794-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKARD MEDICAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "DESMET",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "978-682-5122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411272",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Packard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Overton
• Stephanie Owen, LICSW
• Stephen D Ozaroff, PA
• Neill Ozuna
• Anoli J Pabari, D.M.D
• Felicia Padilla, MA
• Margarita C Padro, LMHC
• Adeliz Pagan
• Geraldo Pagan, LMHC-GC-C
• Natalie Pagan, LCSW

• Community/Retail Pharmacy in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.