Hawthorn Pharma LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

HAWTHORN PHARMA LLC

Practice address

827 Rockdale Ave
New Bedford, MA 02740-2701

Phone

(508) 998-7888

Fax

(508) 997-9866

NPI assigned

Nov 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sreenivas AthuluriNPI 1205238961

Title

Pharmacist

Phone

(508) 998-7888

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharmahealth Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sreenivas Athuluri, RPH

  • Pharmacist
  • North Dartmouth, MA
  • NPI 1205238961
  NPD Authorized official

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1871007443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402701",
            "telephone_number": "508-998-7888",
            "fax_number": "508-998-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402701",
            "telephone_number": "508-998-7888",
            "fax_number": "508-997-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-18",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "ATHULURI",
        "authorized_official_first_name": "SREENIVAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "508-998-7888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110131979A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmahealth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Avis Hathaway, LPN
• Maureen Ann Hathaway, LICSW
• Meagan Hathaway
• Juliet Hathon, LICSW
• Havenwood Assisted Care LLC
• Christopher Haxhi
• Emmett Hayes
• Marissa Hayes
• Melissa Hayward-Kendrigan, MED
• Healing Trauma Center Inc.

• Pharmacist in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.