Individual provider Active NPI

Allen Wells Fletcher

  • Pharmacist
  • North Easton, MA
National Provider Identifier
1760087183
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2283 Issued in MA
Practice address
689 Depot St
North Easton, MA 02356-2703
Phone
(508) 238-0604
Fax
(508) 238-2718
NPI assigned
Dec 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 2283 MA Primary

Addresses

Primary practice location

689 Depot St
North Easton, MA 02356-2703

Mailing address

689 Depot St
North Easton, MA 02356-2703
Phone (508) 238-0604

Other identifiers 2

IdentifierTypeStateIssuer
08131977OtherMARANDOM
08131977OtherPHARMACIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 774-266-0263 Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
2283MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1760087183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 DEPOT ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562703",
            "telephone_number": "508-238-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 DEPOT ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562703",
            "telephone_number": "508-238-0604",
            "fax_number": "508-238-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ALLEN",
        "middle_name": "WELLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RANDOM",
            "identifier": "08131977",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "08131977",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "774-266-0263",
            "affiliation": "N",
            "endpointDescription": "Cell",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "689 Depot St",
            "city": "North Easton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023562703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.