Individual provider Active NPI

Ada Dyrmishi

  • Pharmacist
  • Hudson, MA
National Provider Identifier
1760113989
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH236786 Issued in MA
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

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PH236786MAMDPharmacist

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.

Verify at the official NPI Registry.