Laurie Carpenter
Individual provider Active NPI Pharmacist · Chatham, MA
NPI 1679178677 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1679178677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21540 (MA)
- Practice address
- 12 Queen Anne Rd
Chatham, MA 02633-1859 - Phone
- (508) 945-4340
- Fax
- (508) 945-0521
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21540 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past |
Accepting new patients | |
| CVS Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21540 | MA | Yes |
Addresses
Primary practice location
12 Queen Anne Rd
Chatham, MA 02633-1859
Mailing address
12 Queen Anne Rd
Chatham, MA 02633-1859
Phone (508) 945-4340
NPI Registry JSON
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1679178677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 QUEEN ANNE RD",
"city": "CHATHAM",
"state": "MA",
"postal_code": "026331859",
"telephone_number": "508-945-4340",
"fax_number": "508-945-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 QUEEN ANNE RD",
"city": "CHATHAM",
"state": "MA",
"postal_code": "026331859",
"telephone_number": "508-945-4340",
"fax_number": "508-945-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "LAURIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "21540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. 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.