NPIMap

Organization Active NPI

Greater Lawrence Family Health Center Inc

  • Community/Retail Pharmacy
  • Methuen, MA
National Provider Identifier
1528429982
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS90041 Issued in MA
Legal business name
GREATER LAWRENCE FAMILY HEALTH CENTER INC
Practice address
147 Pelham St
Methuen, MA 01844-2060
Phone
(978) 655-5731
Fax
(978) 655-5731
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Zandra S.W. KelleyNPI 1427082296
Title
Ceo
Phone
(978) 686-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS90041 MA Primary

Addresses

Primary practice location

147 Pelham St
Methuen, MA 01844-2060

Mailing address

1 Griffin Brook Dr
Methuen, MA 01844-1865
Phone (978) 689-6635

Other identifiers 2

IdentifierTypeStateIssuer
110020863VMedicaidMA
2158623OtherPK

Other names 1

  • Greater Lawrence Family Health Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160810000460 MA DME Supplier - Pharmacy 0446221956 Practice locations: Methuen, MA
O20200915002199 MA Part B Supplier - Pharmacy 0446221956 Practice locations: Methuen, MA

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Greater Lawrence Fam HL10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1528429982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRIFFIN BROOK DR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441865",
            "telephone_number": "978-689-6635",
            "fax_number": "978-687-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PELHAM ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442060",
            "telephone_number": "978-655-5731",
            "fax_number": "978-655-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAWRENCE FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_middle_name": "S.W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-686-0090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS90041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020863V",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Lawrence Family Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.