Active NPI
Conlin'S Pharmacy, Inc.
- Community/Retail Pharmacy
- Methuen, MA
National Provider Identifier
1538201264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2135
- Legal business name
- CONLIN'S PHARMACY, INC.
- Practice address
- 30 Lawrence St
Methuen, MA 01844-4449 - Phone
- (978) 552-1700
- Fax
- (978) 552-1785
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis A. Conlin
- Title
- President
- Phone
- (978) 552-1777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2135 | MA | Primary |
Addresses
Primary practice location
30 Lawrence St
Methuen, MA 01844-4449
Mailing address
30 Lawrence St
Methuen, MA 01844-4449
Phone (978) 552-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110020809/B | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040913001067 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416924139 | Practice locations: Methuen, MA |
| O20100930001071 | MA | DME Supplier - Pharmacy | 7416924139 | Practice locations: Methuen, MA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Conlins Pharmacy Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Methuen, MA
- NPI 1104822907
-
- Long Term Care Pharmacy
- Methuen, MA
- NPI 1801570759
-
- Long Term Care Pharmacy
- Methuen, MA
- NPI 1659413383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1538201264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAWRENCE ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444449",
"telephone_number": "978-552-1700",
"fax_number": "978-552-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LAWRENCE ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444449",
"telephone_number": "978-552-1700",
"fax_number": "978-552-1785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONLIN'S PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "CONLIN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-552-1777"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "2135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110020809/B",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}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 Feb 14, 2012; 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.