Individual provider Active NPI

Vivian Parastoo Tahmasbi, DOCTOR OF PHARMACY

  • Pharmacy
  • Pepperell, MA
National Provider Identifier
1821742073
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Practice address
74 Main St
Pepperell, MA 01463-1560
Phone
(978) 433-6130
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

74 Main St
Pepperell, MA 01463-1560

Mailing address

59 Moonlight Dr
Tewksbury, MA 01876-2208
Phone (858) 472-7198

Other practice location 1

13 Park St
Ayer, MA 01432-1120
Phone (978) 391-4061

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pepperell Pharmacy Inc CurrentSince Jul 24, 2022 Accepting new patients
Ayer Pharmacy Inc. Pharmacy Past Accepting new patients
Ayer Pharmacy Inc. PastSince Apr 17, 2022 Accepting new patients
Pepperell Pharmacy Inc Pharmacy PastSince Feb 13, 2022 Accepting new patients

Locations

74 Main St
Pepperell, MA 01463
Phone (978) 433-6130

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1821742073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MOONLIGHT DR",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762208",
            "telephone_number": "858-472-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631560",
            "telephone_number": "978-433-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Park St",
            "address_purpose": "LOCATION",
            "city": "Ayer",
            "state": "MA",
            "postal_code": "014321120",
            "country_code": "US",
            "telephone_number": "978-391-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHMASBI",
        "first_name": "VIVIAN",
        "middle_name": "PARASTOO",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepperell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.