Neil Grossman, PHARMD
Individual provider Active NPI Pharmacist · Ludlow, MA
NPI 1649662016 · NPPES record last updated Feb 23, 2015
Key facts
- NPI
- 1649662016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH234819 (MA)
- Practice address
- 54 East St
Ludlow, MA 01056-3407 - Phone
- (413) 547-8128
- NPI assigned
- Feb 23, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH234819 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH234819 | MA | Yes |
Addresses
Primary practice location
54 East St
Ludlow, MA 01056-3407
Mailing address
54 East St
Ludlow, MA 01056-3407
Phone (413) 547-8128
Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2015. 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.