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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21540MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past
since Dec 6, 2020
Accepting new patients
CVS Pharmacy Inc Past
since Dec 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2020.

{
    "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

All providers in Chatham, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.