Active NPI
Elaine Marie Phelan
- Pharmacist
- Hudson, MA
National Provider Identifier
1902920390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16774
- Practice address
- 157 Washington St
Hudson, MA 01749-2765 - Phone
- (978) 562-5096
- Fax
- (978) 562-4853
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 16774 | MA | Primary |
Addresses
Primary practice location
157 Washington St
Hudson, MA 01749-2765
Mailing address
40 South St
Upton, MA 01568-1407
Phone (508) 529-3027
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 |
|---|---|---|---|
| 16774 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902920390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SOUTH ST",
"city": "UPTON",
"state": "MA",
"postal_code": "015681407",
"telephone_number": "508-529-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 WASHINGTON ST",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492765",
"telephone_number": "978-562-5096",
"fax_number": "978-562-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "ELAINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "16774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.