Organization Active NPI

Betro Pharmacy Inc

  • Community/Retail Pharmacy
  • Walpole, MA
National Provider Identifier
1649336918
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS1184 Issued in MA
Legal business name
BETRO PHARMACY INC
Practice address
965 Main St
Walpole, MA 02081-2965
Phone
(508) 668-0018
Fax
(508) 668-5590
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Peter Betro, RPH
Title
Owner
Phone
(508) 668-0018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS1184 MA Primary

Addresses

Primary practice location

965 Main St
Walpole, MA 02081-2965

Mailing address

PO Box 190
Walpole, MA 02081-0190
Phone (508) 668-0018

Other identifiers 2

IdentifierTypeStateIssuer
0401218MedicaidMA
2039620OtherPK

Other names 1

  • BETRO PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

965 Main St
Walpole, MA 02081
Phone (508) 668-0018

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1649336918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020810190",
            "telephone_number": "508-668-0018",
            "fax_number": "508-668-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812965",
            "telephone_number": "508-668-0018",
            "fax_number": "508-668-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETRO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "BETRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-668-0018",
        "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": "DS1184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401218",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETRO PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.