St George Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS90034 Issued in MA

Legal business name

ST GEORGE PHARMACY INC

Practice address

435 Furnace St
Marshfield, MA 02050-2328

Phone

(774) 451-7911

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Atef AyoubNPI 1467706853

Title

Pharmacist

Phone

(774) 451-7911

Specialties & licenses 1

Addresses

Other names 1

• st George pharmacy inc Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atef Ayoub

  • Pharmacist
  • Marshfield, MA
  • NPI 1467706853
  NPD Authorized official

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1730433129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502328",
            "telephone_number": "774-451-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "ATEF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "774-451-7911"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS90034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "st George pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• M. Estelle Spike, MS, LMHC
• Michael G Spiro, RPH
• Deidre Stanley, RN
• Star Markets Company Inc
• Claudia Starkey, CHC
• Alyson Nicole Stickney
• Karen Rasmussen Stone, PHD

• Community/Retail Pharmacy in Marshfield, MA
• Providers in Marshfield, 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 Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.