Price Chopper Operating Co of Mass Inc
Organization Active NPI Community/Retail Pharmacy · Sutton, MA
NPI 1659754208 · NPPES record last updated Jun 27, 2016
Key facts
- NPI
- 1659754208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- DS89978 (MA)
- Legal business name
- PRICE CHOPPER OPERATING CO OF MASS INC
- Practice address
- 21 Galaxy Pass
Sutton, MA 01590-4836 - Phone
- (508) 865-2513
- Fax
- (508) 865-5240
- NPI assigned
- Jul 1, 2015
- Organization subpart
- No
Authorized official
- Name
- Kathleen Brynat
- Title
- VP of Pharmacy
- Phone
- (518) 379-1618
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Member of 2
Practitioners 8
-
Razeen Haider, PHARMD
-
Gregory Vincent Mainella, PHARMD
-
Sarah J Marasigan, PHARMD
-
Lillian Kate Piemont, PHARMD
-
David Reilly, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Price Chopper Operating Co of Mass |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090724000082 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547312431 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sutton, MA; Worcester, MA; Webster, MA; Shrewsbury, MA; Pittsfield, MA; Great Barrington, MA; Gardner, MA |
| O20160920003131 | MA | DME Supplier - Pharmacy | 0547312431 | Practice locations: Sutton, MA |
National Provider Directory
- Tax ID family
- Price Chopper Operating Co of Mass Inc
Locations
560 Main St
Gardner, MA 01440
Phone (978) 730-1040
300 Stockbridge Rd
Great Barrington, MA 01230
Phone (413) 528-2408
320 Stockbridge Rd
Gt Barrington, MA 01230
Phone (413) 528-2408
731 Boston Tpke
Shrewsbury, MA 01545
Phone (774) 214-4255
21 Galaxy Pass
Sutton, MA 01590
Phone (508) 865-2513
118 E Main St
Ste 1
Webster, MA 01570
Phone (508) 949-8804
2 Worcester Rd
Webster, MA 01570
Phone (508) 949-8804
72 Pullman St
Worcester, MA 01606
Phone (508) 854-8318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | DS89978 | MA | Yes |
Addresses
Primary practice location
21 Galaxy Pass
Sutton, MA 01590-4836
Mailing address
461 Nott St
MB #202
Schenectady, NY 12308-1812
Phone (518) 379-1618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2152795 | Other | PK |
Other names
- Market 32 #244
Other providers in Sutton, MA
- Alexa Rae O'Leary
- Erika Osborne
- Brittany Palmer
- Robert Pano
- Rutvik Patel
- Karen Puopolo
- Meagan Quinn
- Anthony S Rainka
- David Reilly
- Rhode Island Children'S Dentistry
All providers in Sutton, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.