Organization Active NPI

North Attleboro Pharmacy Inc

  • Community/Retail Pharmacy
  • North Attleboro, MA
National Provider Identifier
1528818150
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTH ATTLEBORO PHARMACY INC
Practice address
652 E Washington St Unit 12
North Attleboro, MA 02760-2488
Phone
(508) 727-2323
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Abram Agayby, PHARMD
Title
President
Phone
(508) 742-8773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

652 E Washington St Unit 12
North Attleboro, MA 02760-2488

Mailing address

652 E Washington St Unit 12
North Attleboro, MA 02760-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920000490 MA Part B Supplier - Pharmacy 3476094293 Practice locations: North Attleboro, MA

National Provider Directory

National Provider Directory
Tax ID family
North Attleboro Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

652 E Washington St
Unit 12
North Attleboro, MA 02760
Phone (508) 727-2323

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1528818150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E WASHINGTON ST UNIT 12",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E WASHINGTON ST UNIT 12",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602488",
            "telephone_number": "508-727-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATTLEBORO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "AGAYBY",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-742-8773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.