Organization Active NPI

Walsh Pharmacy of Rock Street Inc

  • Durable Medical Equipment & Medical Supplies
  • Fall River, MA
National Provider Identifier
1831651272
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WALSH PHARMACY OF ROCK STREET INC
Practice address
202 Rock St
Fall River, MA 02720-3212
Phone
(508) 679-1300
NPI assigned
Apr 4, 2019
Organization subpart
Yes
Parent organization
WALSH PHARMACY OF ROCK STREET INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Thomas Pasternak
Title
President, Owner, R.PH.
Phone
(508) 679-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

202 Rock St
Fall River, MA 02720-3212

Mailing address

202 Rock St
Fall River, MA 02720-3212
Phone (508) 679-1300

Other identifiers 3

IdentifierTypeStateIssuer
1035808MedicaidVT
WP03910MedicaidRI
0428671MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Walsh Pharmacy of Rock2 organizations share this tax ID, including this one
Part of
Walsh Pharmacy of Rock

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1831651272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203212",
            "telephone_number": "508-679-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203212",
            "telephone_number": "508-679-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH PHARMACY OF ROCK STREET INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALSH PHARMACY OF ROCK STREET INC",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "PASTERNAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT, OWNER, R.PH.",
        "authorized_official_telephone_number": "508-679-1300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035808",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WP03910",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428671",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.