NPIMap

Organization Active NPI

Price Chopper Operating Co of Mass Inc

Doing business as Price Chopper Pharmacy

  • Community/Retail Pharmacy
  • Webster, MA
National Provider Identifier
1669585758
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2898 Issued in MA
Legal business name
PRICE CHOPPER OPERATING CO OF MASS INC
Doing business as
Price Chopper Pharmacy
Practice address
2 Worcester Rd
Webster, MA 01570-1652
Phone
(508) 949-8804
Fax
(508) 949-8806
NPI assigned
Aug 16, 2006
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Kathleen Bryant
Title
VP of Pharmacy
Phone
(518) 379-1122

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2898 MA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2 Worcester Rd
Webster, MA 01570-1652

Mailing address

461 Nott St
MB#202
Schenectady, NY 12308-1812
Phone (518) 379-1618

Other identifiers 2

IdentifierTypeStateIssuer
0447765MedicaidMA
2038652OtherPK

Other names 1

  • PRICE CHOPPER PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1669585758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NOTT ST",
            "address_2": "MB#202",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081812",
            "telephone_number": "518-379-1618",
            "fax_number": "518-356-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORCESTER RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701652",
            "telephone_number": "508-949-8804",
            "fax_number": "508-949-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE CHOPPER OPERATING CO OF MASS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "518-379-1122"
    },
    "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": "2898",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447765",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRICE CHOPPER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.