Active NPI
Ahmad Eljarouch, RPH
- Pharmacist
- Natick, MA
National Provider Identifier
1902448053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH235794
- Practice address
- 54 Harvard Street Ext Apt 1
Natick, MA 01760-3524 - Phone
- (413) 433-1135
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH235794 | MA | Primary |
Addresses
Primary practice location
54 Harvard Street Ext Apt 1
Natick, MA 01760-3524
Mailing address
664 Main St
Worcester, MA 01610-3124
Phone (508) 755-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477851798 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | worcester | Direct |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH235794 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Pharmacy Corp | Current | Accepting new patients | |
| Quality Pharmacy Corp | Past | Accepting new patients |
Locations
664 Main St
Worcester, MA 01610
Phone (508) 755-3000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Worcester, MA
- NPI 1497539332
-
- Community/Retail Pharmacy
- Worcester, MA
- NPI 1477851798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1902448053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 MAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016103124",
"telephone_number": "508-755-3000",
"fax_number": "508-755-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HARVARD STREET EXT APT 1",
"city": "NATICK",
"state": "MA",
"postal_code": "017603524",
"telephone_number": "413-433-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELJAROUCH",
"first_name": "AHMAD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477851798",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "worcester",
"affiliation": "N",
"endpointDescription": "pharmacy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "worcester",
"address_1": "664 Main St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016103124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.