Nantasket Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS2038 Issued in MA

Legal business name

NANTASKET PHARMACY INC

Doing business as

Nantasket Pharmacy Inc

Practice address

480 Nantasket Ave
Hull, MA 02045-2521

Phone

(781) 925-1270

Fax

(781) 925-0551

NPI assigned

Jan 23, 2007

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rocky Tenuglia, RPH

Title

President

Phone

(781) 925-2378

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NANTASKET PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruth Abi-Kheirs

  • Pharmacist
  • Hull, MA
  • NPI 1326644642
  NPD (past)
• Rocky Tenaglia

  • Pharmacist
  • Hull, MA
  • NPI 1629639307
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1629122072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 NANTASKET AVE",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020452521",
            "telephone_number": "781-925-1270",
            "fax_number": "781-925-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NANTASKET AVE",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020452521",
            "telephone_number": "781-925-1270",
            "fax_number": "781-925-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTASKET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "TENUGLIA",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-925-2378",
        "authorized_official_credential": "RPH"
    },
    "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": "DS2038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035633",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NANTASKET PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rob Mosher
• Virginia Gaeta Nagiec, QP, MS, LMFTA
• Nantasket Eye Care Associates Inc
• Nantasket Eye Care Associates, LLC
• Nantasket Family Dental
• Nantasket Physical Therapy LLC
• Donna Nelson, RN
• Bertide Neptune
• Katharine Niven, LMHC
• Anna Olore

• Community/Retail Pharmacy in Hull, MA
• Providers in Hull, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.