Active NPI
Addison Conca, PHARMD
- Pharmacist
- New Bedford, MA
National Provider Identifier
1861006462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234915
- Practice address
- 1737 Acushnet Ave
New Bedford, MA 02746-2128 - Phone
- (508) 984-4410
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH05275 | RI | |
| Pharmacist | 183500000X | PH234915 | MA | Primary |
Addresses
Primary practice location
1737 Acushnet Ave
New Bedford, MA 02746-2128
Mailing address
29 Brownell St
Warren, RI 02885-1501
Phone (845) 401-0852
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH234915 | MA | MD | Pharmacist |
| RPH05275 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1861006462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BROWNELL ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028851501",
"telephone_number": "845-401-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 ACUSHNET AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027462128",
"telephone_number": "508-984-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCA",
"first_name": "ADDISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH05275",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
- Commonwealth of Massachusetts-DMH (New Bedford Site Office Case Management)
- Commonwealth Recovery Clinic-Inc
- Community Bridges, Inc
- Community Empowerment Services
- Compass Counseling LLC
- Brian Michael Conceicao, LCSW
- Christian J Concepcion Gonzalez
- Adam Conheeny
- Lana Marie Conigo
- Connecting Bridge LLC (Varsa Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.