Rocky Tenaglia
Individual provider Active NPI Pharmacist · Hull, MA
NPI 1629639307 · NPPES record last updated Jun 24, 2019
Key facts
- NPI
- 1629639307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18456 (MA)
- Practice address
- 480 Nantasket Ave
Hull, MA 02045-2544 - Phone
- (781) 925-1270
- Fax
- (781) 925-0551
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18456 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantasket Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18456 | MA | Yes |
Addresses
Primary practice location
480 Nantasket Ave
Hull, MA 02045-2544
Mailing address
480 Nantasket Ave
Hull, MA 02045-2544
Phone (781) 925-1270
Other providers in Hull, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.