Jillian Prunier, PHARMD
Individual provider Active NPI Pharmacist · Orange, MA
NPI 1508466517 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1508466517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH25786 (MA)
- Practice address
- 555 E Main St
Orange, MA 01364-9515 - Phone
- (978) 544-6405
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH25786 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients | |
| Wal-Mart Stores East LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH25786 | MA | Yes |
Addresses
Primary practice location
555 E Main St
Orange, MA 01364-9515
Mailing address
917 Millers Falls Rd
Northfield, MA 01360-9621
Phone (413) 218-5419
Other providers in Orange, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.