Active NPI
Neil A Desautels, RPH
- Pharmacist
- Tewksbury, MA
National Provider Identifier
1538502968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17542
- Practice address
- 333 Main St
Tewksbury, MA 01876-1727 - Phone
- (978) 851-0437
- NPI assigned
- Apr 16, 2013
- Last updated
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17542 | MA | Primary |
Addresses
Primary practice location
333 Main St
Tewksbury, MA 01876-1727
Mailing address
3 Apple Hill LN
Lynnfield, MA 01940-1127
Phone (781) 334-5481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338950 | Other | NABP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17542 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1538502968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 APPLE HILL LN",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "019401127",
"telephone_number": "781-334-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MAIN ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761727",
"telephone_number": "978-851-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAUTELS",
"first_name": "NEIL",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "17542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "338950",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.