Organization Active NPI

Spring Street Drug Inc.

  • Pharmacist
  • Springfield, MA
National Provider Identifier
1508871161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19959 Issued in MA
Legal business name
SPRING STREET DRUG INC.
Practice address
121 Spring St
Springfield, MA 01105-1211
Phone
(413) 736-0351
Fax
(413) 734-7037
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daryl J Schwartz, RPH
Title
President
Phone
(413) 736-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 19959 MA Primary

Addresses

Primary practice location

121 Spring St
Springfield, MA 01105-1211

Mailing address

121 Spring St
Springfield, MA 01105-1211
Phone (413) 736-0351

Other identifiers 1

IdentifierTypeStateIssuer
0496464MedicaidMA

National Provider Directory

National Provider Directory

Locations

121 Spring St
Springfield, MA 01105
Phone (413) 736-0351

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508871161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SPRING ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051211",
            "telephone_number": "413-736-0351",
            "fax_number": "413-734-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SPRING ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051211",
            "telephone_number": "413-736-0351",
            "fax_number": "413-734-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING STREET DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-736-0351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "19959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496464",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.