Active NPI
Ada Dyrmishi
- Pharmacist
- Hudson, MA
National Provider Identifier
1760113989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236786
- Practice address
- 280 Washington St
Hudson, MA 01749-2973 - Phone
- (978) 568-3383
- NPI assigned
- Jun 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH236786 | MA | Primary |
Addresses
Primary practice location
280 Washington St
Hudson, MA 01749-2973
Mailing address
105 Merriam Rd
Grafton, MA 01519-1439
Phone (508) 873-6071
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | a0d0fvx.s01970.us@wal-mart.com | Direct | WAL-MART STORES EAST LP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH236786 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1760113989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MERRIAM RD",
"city": "GRAFTON",
"state": "MA",
"postal_code": "015191439",
"telephone_number": "508-873-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WASHINGTON ST",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492973",
"telephone_number": "978-568-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYRMISHI",
"first_name": "ADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236786",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "a0d0fvx.s01970.us@wal-mart.com",
"affiliation": "Y",
"endpointDescription": "Secure Work Created Email",
"affiliationName": "WAL-MART STORES EAST LP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "280 Washington St",
"city": "Hudson",
"state": "MA",
"country_code": "US",
"postal_code": "017492973",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.