Individual provider Active NPI

Gaspar Hacobian, PHARM D

  • Pharmacist
  • Woburn, MA
National Provider Identifier
1699083337
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20663 Issued in MA
Practice address
350 Cambridge St
Woburn, MA 01801-6037
Phone
(781) 933-4410
Fax
(781) 933-1046
NPI assigned
Sep 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20663 MA Primary

Addresses

Primary practice location

350 Cambridge St
Woburn, MA 01801-6037

Mailing address

350 Cambridge St
Woburn, MA 01801-6037
Phone (781) 933-4410

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
20663MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1699083337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CAMBRIDGE ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016037",
            "telephone_number": "781-933-4410",
            "fax_number": "781-933-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CAMBRIDGE ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016037",
            "telephone_number": "781-933-4410",
            "fax_number": "781-933-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACOBIAN",
        "first_name": "GASPAR",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "20663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.