Jack Dorman
Individual provider Active NPI Pharmacist · Belchertown, MA
NPI 1851272298 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1851272298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH1002631 (MA)
- Practice address
- 151 N Main St
Belchertown, MA 01007-9839 - Phone
- (774) 452-6821
- NPI assigned
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1002631 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH1002631 | MA | Yes |
Addresses
Primary practice location
151 N Main St
Belchertown, MA 01007-9839
Mailing address
151 N Main St
Belchertown, MA 01007-9839
Other providers in Belchertown, MA
- CVS Pharmacy Inc
- Peter J. Dasilva
- Melissa Desautels
- Sarah Dester
- Teresa Dooley-Smith
- Lisa Dowers
- Daniel P. Drewniak
- Michelle Dubuc
- Bruce A Eggleston
- Elevate Mental Health and Wellness
All providers in Belchertown, MA · Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.