Organization Active NPI

Pentec Health, Inc.

  • Home Infusion Therapy Pharmacy
  • Mansfield, MA
National Provider Identifier
1821425513
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
DS89913 Issued in MA
Legal business name
PENTEC HEALTH, INC.
Practice address
120 Forbes Blvd
Suite 140
Mansfield, MA 02048-1150
Phone
(855) 217-5541
Fax
(508) 261-7102
NPI assigned
Sep 26, 2013
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mr. Eric Mollman
Title
Cfo
Phone
(800) 223-4376

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Home Infusion Therapy Pharmacy 3336H0001X DS89913 MA Primary

Addresses

Primary practice location

120 Forbes Blvd
Suite 140
Mansfield, MA 02048-1150

Mailing address

4 Creek Pkwy
Upper Chichester, PA 19061-3132
Phone (800) 223-4376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140725001689 MA DME Supplier - Pharmacy 8426184789 Practice locations: Mansfield, MA
O20141029000410 MA Part B Supplier - Pharmacy 8426184789 Practice locations: Mansfield, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pentec Health Inc120 Forbes Blvd, Mansfield, MA 02048-1150(800) 223-4376 Infusion Drugs|External Infusion Pumps and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

120 Forbes Blvd
Ste 140
Mansfield, MA 02048
Phone (800) 223-4376

4 Creek Pkwy
Upper Chichester, PA 19061
Phone (610) 494-8700

4 Creek Pkwy
#A
Upper Chichester, PA 19061
Phone (484) 480-2160

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1821425513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CREEK PKWY",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613132",
            "telephone_number": "800-223-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FORBES BLVD",
            "address_2": "SUITE 140",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481150",
            "telephone_number": "855-217-5541",
            "fax_number": "508-261-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTEC HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "MOLLMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-223-4376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MA",
            "license": "DS89913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.