Organization Active NPI

Pharmahealth Longterm Care Inc

  • Specialty Pharmacy
  • Fairhaven, MA
National Provider Identifier
1790713378
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
DS89728 Issued in MA
Legal business name
PHARMAHEALTH LONGTERM CARE INC
Practice address
132 Alden Rd
Fairhaven, MA 02719-4721
Phone
(508) 998-8000
Fax
(508) 998-1145
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Jessica Tavares, RPH
Title
Director of Compliance
Phone
(508) 998-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X DS89728 MA Primary

Addresses

Primary practice location

132 Alden Rd
Fairhaven, MA 02719-4721

Mailing address

132 Alden Rd
Fairhaven, MA 02719-4721
Phone (508) 998-8000

Other identifiers 2

IdentifierTypeStateIssuer
2039567OtherPK
0408140MedicaidMA

Other names 1

  • Pharmahealth Specialty, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1790713378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194721",
            "telephone_number": "508-998-8000",
            "fax_number": "508-998-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194721",
            "telephone_number": "508-998-8000",
            "fax_number": "508-998-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAHEALTH LONGTERM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "508-998-8000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MA",
            "license": "DS89728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408140",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmahealth Specialty, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.