NPIMap

Organization Active NPI

Price Chopper Operating Co of Mass Inc

Doing business as Price Chopper Pharmacy #239

  • Community/Retail Pharmacy
  • Gardner, MA
National Provider Identifier
1679828115
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89829 Issued in MA
Legal business name
PRICE CHOPPER OPERATING CO OF MASS INC
Doing business as
Price Chopper Pharmacy #239
Practice address
560 Main St
Gardner, MA 01440-3044
Phone
(978) 730-1041
Fax
(978) 630-8798
NPI assigned
Jul 20, 2012
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89829 MA Primary

Addresses

Primary practice location

560 Main St
Gardner, MA 01440-3044

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2136119OtherPK

Other names 1

  • Price Chopper Pharmacy #239 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

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
O20121128000029 MA DME Supplier - Pharmacy 0547312431 Practice locations: Gardner, MA

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Price Chopper Operating Co of Mass560 Main St, Gardner, MA 01440-3055(978) 730-1041 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies Accepts assignmentParticipating since Apr 6, 2009

National Provider Directory

National Provider Directory
Tax ID family
Price Chopper Operating Co of Mass Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1679828115",
    "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": "560 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403044",
            "telephone_number": "978-730-1041",
            "fax_number": "978-630-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE CHOPPER OPERATING CO OF MASS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2017-04-28",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Chopper Pharmacy #239",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.