Active NPI
Stephen James Primes
- Pharmacist
- Lowell, MA
National Provider Identifier
1871806901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17671
- Practice address
- 25 Wood St
Lowell, MA 01851-1518 - Phone
- (978) 458-6397
- Fax
- (978) 458-1048
- NPI assigned
- Jul 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17671 | MA | Primary |
| Pharmacist | 183500000X | R1459 | NH |
Addresses
Primary practice location
25 Wood St
Lowell, MA 01851-1518
Mailing address
7 Gavin Cir
Andover, MA 01810-4262
Phone (978) 475-3299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17671 | MA | MD | General Practice Dentistry |
| R1459 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279411200000",
"number": "1871806901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GAVIN CIR",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104262",
"telephone_number": "978-475-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WOOD ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511518",
"telephone_number": "978-458-6397",
"fax_number": "978-458-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMES",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-18",
"last_updated": "2010-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "17671",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.