Organization Active NPI

Serios Pharmacy LLC

  • Community/Retail Pharmacy
  • Northampton, MA
National Provider Identifier
1861586067
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11314 Issued in MA
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

Updated by the provider on May 19, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0413445MedicaidMA

Other names 1

  • Serio's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200812003724 MA Part B Supplier - Pharmacy 2961828538 Practice locations: Northampton, MA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.