Organization Active NPI

Duvals Pharmacy Inc

Doing business as Duvals Pharmacy

  • Community/Retail Pharmacy
  • Whitman, MA
National Provider Identifier
1922037878
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS14942 Issued in MA
Legal business name
DUVALS PHARMACY INC
Doing business as
Duvals Pharmacy
Practice address
571 Washington St
Whitman, MA 02382-1337
Phone
(781) 447-0606
Fax
(781) 447-4769
NPI assigned
Jul 2, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
John Duval, PHARMACIST
Title
Owner
Phone
(781) 447-0606

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS14942 MA Primary

Addresses

Primary practice location

571 Washington St
Whitman, MA 02382-1337

Mailing address

PO Box 429
Whitman, MA 02382-0429
Phone (781) 447-0606

Other identifiers 2

IdentifierTypeStateIssuer
110020708BMedicaidMA
2039759OtherPK

Other names 1

  • DUVALS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081224000081 MA Part B Supplier - Other 8628130788 Practice locations: Whitman, MA
O20100930065441 MA DME Supplier - Pharmacy 8628130788 Practice locations: Whitman, MA

National Provider Directory

National Provider Directory
Tax ID family
Duvals Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1922037878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023820429",
            "telephone_number": "781-447-0606",
            "fax_number": "781-447-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 WASHINGTON ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821337",
            "telephone_number": "781-447-0606",
            "fax_number": "781-447-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVALS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-447-0606",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS14942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020708B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUVALS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitman, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.