Family Pharmacy Located at Heywood Hospital, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2963 Issued in MA

Legal business name

FAMILY PHARMACY LOCATED AT HEYWOOD HOSPITAL, INC.

Practice address

250 Green St
Suite 101
Gardner, MA 01440-1396

Phone

(978) 632-4533

Fax

(978) 632-4692

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hamid Mohaghegh, RPH, MS, MHA

Title

Owner/President

Phone

(508) 755-4173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1619089745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052627",
            "telephone_number": "508-755-4173",
            "fax_number": "508-755-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 101",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-632-4533",
            "fax_number": "978-632-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY LOCATED AT HEYWOOD HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MOHAGHEGH",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-755-4173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MS, MHA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "2963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID NUMBER",
            "identifier": "2237421",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Gardner, MA
• Providers in Gardner, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.