Edward Raymond Perlak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH24082 Issued in MA

Practice address

1176 Granby Rd
Chicopee, MA 01020-1549

Phone

(413) 532-0991

NPI assigned

Nov 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1740883107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 GRANBY RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 GRANBY RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201549",
            "telephone_number": "413-532-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLAK",
        "first_name": "EDWARD",
        "middle_name": "RAYMOND",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH24082",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MA",
            "license": "24082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CVS NPI NUMBER",
            "identifier": "1487793786",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487793786",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1487753786",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Edperlak34@charter.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1176 Granby Rd",
            "city": "Chicopee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010201549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eperlak@cvs.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1176 Granby Rd",
            "city": "Chicopee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010201549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1176granbyrdchicopeema",
            "affiliation": "N",
            "address_1": "1176 Granby Rd",
            "city": "Chicopee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010201549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ricardo Luis Pena
• Sarah Marie Pennington, LICSW
• Felicia Michelle Pepin
• Kristy Marie Pereira, R.N.
• Nikita Perez, B.A.
• Arielle Perry
• Grazyna Peters
• Seth Timothy Peters
• Kara Petrangelo
• Peggy Pettengill

• Pharmacist in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.