Tyngsboro Family Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

DS89899 Issued in MA

Legal business name

TYNGSBORO FAMILY PHARMACY INC

Doing business as

Tyngsboro Family Pharmacy

Practice address

138 Middlesex Rd
Tyngsboro, MA 01879-2711

Phone

(978) 226-5679

Fax

(978) 226-5802

NPI assigned

Aug 23, 2017

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larissa HubbardNPI 1083201024

Title

Owner

Phone

(978) 226-5679

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tyngsboro Family Pharmacy Doing business as

Practitioners 1

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.

• Larissa Jane Hubbard, PHARMD

  • Pharmacist
  • Pepperell, MA
  • NPI 1083201024
  NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1740707660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MIDDLESEX RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792711",
            "telephone_number": "978-226-5679",
            "fax_number": "978-226-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MIDDLESEX RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792711",
            "telephone_number": "978-226-5679",
            "fax_number": "978-226-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNGSBORO FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-226-5679"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "DS89899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170849",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11009828A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyngsboro Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Tyngsboro, MA
• Providers in Tyngsboro, MA by specialty
• Long Term Care Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.