NPIMap

Organization Active NPI

Conlin'S Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Methuen, MA
National Provider Identifier
1659413383
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
90066 Issued in MA
Legal business name
CONLIN'S PHARMACY, INC.
Practice address
380 Merrimack St
Unit 1B
Methuen, MA 01844-5870
Phone
(978) 327-6551
Fax
(978) 327-6554
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Mr. Dennis A. Conlin
Title
President
Phone
(978) 552-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 90066 MA Primary

Addresses

Primary practice location

380 Merrimack St
Unit 1B
Methuen, MA 01844-5870

Mailing address

30 Lawrence St
Methuen, MA 01844-4449
Phone (978) 552-1700

Other identifiers 1

IdentifierTypeStateIssuer
110020809/AMedicaidMA

Other names 1

  • Resident Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210106000272 MA Part B Supplier - Pharmacy 7416924139 Practice locations: Methuen, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Conlins Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

380 Merrimack St
Ste 1B
Methuen, MA 01844
Phone (978) 327-6551

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1659413383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444449",
            "telephone_number": "978-552-1700",
            "fax_number": "978-552-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MERRIMACK ST",
            "address_2": "UNIT 1B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445870",
            "telephone_number": "978-327-6551",
            "fax_number": "978-327-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLIN'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "CONLIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-552-1777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "90066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020809/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resident Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.