Winchendon Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS89843 Issued in MA

Legal business name

WINCHENDON FAMILY PHARMACY INC

Practice address

55 Hospital Dr
Winchendon, MA 01475-1820

Phone

(978) 297-5100

Fax

(978) 297-5101

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Sam Nakhlestani

Title

Corp Office Manager

Phone

(508) 755-4173

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Winchendon Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1700013349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052627",
            "telephone_number": "508-755-4173",
            "fax_number": "508-755-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751820",
            "telephone_number": "978-297-5100",
            "fax_number": "978-297-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHENDON FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "NAKHLESTANI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CORP OFFICE MANAGER",
        "authorized_official_telephone_number": "508-755-4173"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084419/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchendon Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Elizabeth Warder
• Peggy Williams
• Winchendon Dental, PC
• Winchendon Family Dental PC
• Ryen Wood
• Lisa Marie Zuppa, RN

• Community/Retail Pharmacy in Winchendon, MA
• Providers in Winchendon, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.