Willow Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3283 Issued in MA

Legal business name

WILLOW PHARMACY

Practice address

280 Union St
Lynn, MA 01901-1353

Phone

(781) 592-4350

Fax

(781) 268-0662

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Brian Strasnick

Title

President

Phone

(781) 592-4350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891803060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-592-4350",
            "fax_number": "781-268-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-592-4350",
            "fax_number": "781-268-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRASNICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-592-4350"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Josephine Wilkins, R.N.
• Willett & Associates
• Clotyl Williams, M.D
• Seyrel Williams, L.I.C.S.W.
• Siddeeqah A Williams
• Willow Street Medical Lab LLC
• Gretchen Willwerth, LICSW
• Mark Edward Wilner, DDS
• Claire Mary Wilson, M.S.W.
• Faith Jamille Wilson

• Community/Retail Pharmacy in Lynn, MA
• Providers in Lynn, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.