Organization Active NPI

Chicopee Health Center Pharmacy

  • Community/Retail Pharmacy
  • Chicopee, MA
National Provider Identifier
1861720583
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CS89699 Issued in MA
Legal business name
CHICOPEE HEALTH CENTER PHARMACY
Doing business as
Chicopee Health Center Pharmacy
Practice address
505 Front St
Chicopee, MA 01013-3140
Phone
(413) 420-6222
Fax
(413) 592-3375
NPI assigned
Nov 19, 2009
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLYOKE HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Regina Bok
Title
Cfo
Phone
(413) 420-2123

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X CS89699 MA Primary

Addresses

Primary practice location

505 Front St
Chicopee, MA 01013-3140

Mailing address

230 Maple St
PO Box 6260
Holyoke, MA 01040-5144
Phone (413) 420-6210

Other identifiers 2

IdentifierTypeStateIssuer
2120760OtherPK
110027773GMedicaidMA

Other names 1

  • Chicopee Health Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150715002191 MA DME Supplier - Pharmacy 8527969302 Practice locations: Chicopee, MA
O20171204001934 MA Part B Supplier - Mass Immunization (Roster Biller Only) 8527969302 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicopee, MA; Holyoke, MA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Western Mass Hospital Dental Clinic8 organizations share this tax ID, including this one
Part of
Western Mass Hospital Dental Clinic

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

203 Exchange St
#A
Chicopee, MA 01013
Phone (413) 420-2222

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chicopee Health CenterChicopee, MA, CCN 221852 Federally qualified health center Operational/Managerial Control (100%) Jul 25, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1861720583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST",
            "address_2": "PO BOX 6260",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405144",
            "telephone_number": "413-420-6210",
            "fax_number": "413-533-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FRONT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133140",
            "telephone_number": "413-420-6222",
            "fax_number": "413-592-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICOPEE HEALTH CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLYOKE HEALTH CENTER, INC.",
        "enumeration_date": "2009-11-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "BOK",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "413-420-2123"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "CS89699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027773G",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicopee Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.