Active NPI
Serios Pharmacy LLC
- Community/Retail Pharmacy
- Northampton, MA
National Provider Identifier
1861586067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11314
- Legal business name
- SERIOS PHARMACY LLC
- Doing business as
- Serio's Pharmacy
- Practice address
- 63 State St
Northampton, MA 01060-3011 - Phone
- (413) 584-8980
- Fax
- (413) 584-8717
- NPI assigned
- Oct 3, 2006
- 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
- Mr. Paul Serio, RPH
- Title
- Manager
- Phone
- (413) 584-8980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11314 | MA | Primary |
Addresses
Primary practice location
63 State St
Northampton, MA 01060-3011
Mailing address
63 State St
Northampton, MA 01060-3072
Phone (413) 584-8980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0413445 | Medicaid | MA |
Other names 1
- Serio's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200812003724 | MA | Part B Supplier - Pharmacy | 2961828538 | Practice locations: Northampton, MA |
National Provider Directory
National Provider DirectoryLocations
63 State St
Northampton, MA 01060
Phone (413) 584-8980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1861586067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 STATE ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603072",
"telephone_number": "413-584-8980",
"fax_number": "413-584-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 STATE ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603011",
"telephone_number": "413-584-8980",
"fax_number": "413-584-8717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERIOS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "SERIO",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "413-584-8980",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "11314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0413445",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Serio's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.