Active NPI
Martha Sue Lundgren
- Pharmacist
- Acton, MA
National Provider Identifier
1912209958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH22464
- Practice address
- 100 Powdermill Rd
Acton, MA 01720-5932 - Phone
- (978) 897-1600
- NPI assigned
- Nov 24, 2010
- 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 | PH22464 | MA | Primary |
Addresses
Primary practice location
100 Powdermill Rd
Acton, MA 01720-5932
Mailing address
100 Powdermill Rd
Acton, MA 01720-5932
Phone (781) 257-5101
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 |
|---|---|---|---|
| PH22464 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1912209958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 POWDERMILL RD",
"city": "ACTON",
"state": "MA",
"postal_code": "017205932",
"telephone_number": "781-257-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 POWDERMILL RD",
"city": "ACTON",
"state": "MA",
"postal_code": "017205932",
"telephone_number": "978-897-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDGREN",
"first_name": "MARTHA",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH22464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.