Active NPI
Conroy Apothecary Inc
- Community/Retail Pharmacy
- West Tisbury, MA
National Provider Identifier
1639239346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1656
- Legal business name
- CONROY APOTHECARY INC
- Practice address
- 459 State Rd.
West Tisbury, MA 02575-0422 - Phone
- (508) 693-7070
- Fax
- (508) 693-7071
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Tamara Hersh, RPH
- Title
- President
- Phone
- (508) 693-4558
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Oak Bluffs, MA
- NPI 1407688328
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Conroy Apothecary Inc | Immunosuppressive Drugs|Nebulizer Drugs | Does not accept assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066420 | MA | DME Supplier - Pharmacy | 1254452576 | Practice locations: West Tisbury, MA |
| O20131017001663 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254452576 |
1 other NPI on this enrollment Practice locations: West Tisbury, MA |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1656 | MA | |
| Community/Retail Pharmacy | 3336C0003X | 1656 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
459 State Rd.
West Tisbury, MA 02575-0422
Mailing address
PO Box 422
West Tisbury, MA 02575-0422
Phone (508) 693-7070
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0436216 | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2011.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324857600000",
"number": "1639239346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 422",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "025750422",
"telephone_number": "508-693-7070",
"fax_number": "508-693-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 STATE RD.",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "025750422",
"telephone_number": "508-693-7070",
"fax_number": "508-693-7071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONROY APOTHECARY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2011-12-26",
"status": "A",
"authorized_official_last_name": "HERSH",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-693-4558",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": "1656",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "1656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0436216",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Tisbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.