NPIMap

Organization Active NPI

Falmouth Pharma LLC

Doing business as North Falmouth Pharmacy

  • Long Term Care Pharmacy
  • N Falmouth, MA
National Provider Identifier
1760488340
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
DS89895 Issued in MA
Legal business name
FALMOUTH PHARMA LLC
Doing business as
North Falmouth Pharmacy
Practice address
111 County Rd
N Falmouth, MA 02556-2019
Phone
(508) 564-4459
Fax
(508) 564-6172
NPI assigned
Jun 28, 2005
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Sneha Krishnakumar
Title
Pharmacy Manager
Phone
(508) 564-4459

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X DS89895 MA Primary

Addresses

Primary practice location

111 County Rd
N Falmouth, MA 02556-2019

Mailing address

111 County Rd
N Falmouth, MA 02556-2019
Phone (508) 564-4459

Other identifiers 1

IdentifierTypeStateIssuer
2143912OtherPK

Other names 1

  • NORTH FALMOUTH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240408000829 MA Part B Supplier - Mass Immunization (Roster Biller Only) 2860622057 Practice locations: North Falmouth, MA

National Provider Directory

National Provider Directory

Locations

111 County Rd
North Falmouth, MA 02556
Phone (508) 564-4459

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1760488340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COUNTY RD",
            "city": "N FALMOUTH",
            "state": "MA",
            "postal_code": "025562019",
            "telephone_number": "508-564-4459",
            "fax_number": "508-564-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COUNTY RD",
            "city": "N FALMOUTH",
            "state": "MA",
            "postal_code": "025562019",
            "telephone_number": "508-564-4459",
            "fax_number": "508-564-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALMOUTH PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "KRISHNAKUMAR",
        "authorized_official_first_name": "SNEHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "508-564-4459"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "DS89895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH FALMOUTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH FALMOUTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.