Active NPI
Springfield Pharmacy LLC
- Community/Retail Pharmacy
- Springfield, MA
National Provider Identifier
1861100745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SPRINGFIELD PHARMACY LLC
- Practice address
- 299 Carew St
Springfield, MA 01104-2301 - Phone
- (413) 264-3060
- NPI assigned
- Nov 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Wu
- Title
- Owner
- Phone
- (413) 266-3462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
299 Carew St
Springfield, MA 01104-2301
Mailing address
2547 Main St
Springfield, MA 01107-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190829002031 | MA | Part B Supplier - Pharmacy | 3476888108 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, MA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Springfield Pharmacy LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Springfield, MA
- NPI 1184288326
-
- Community/Retail Pharmacy
- Springfield, MA
- NPI 1770435216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Shelburne Falls, MA
- NPI 1578169140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1861100745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042301",
"telephone_number": "413-264-3060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "413-266-3462"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
- Springfield Park View Hospital, LLC
- Springfield Pediatrics LLC
- Springfield Pharmacy LLC
- Springfield Pharmacy LLC
- Springfield Pharmacy LLC
- Springfield Preparatory Charter School
- Springfield Radiation Oncology
- Springfield Radiation Oncology Associates, PC
- Springfield Rehabilitation Center Inc.
- Springfield Smiles and Implants
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.