Pharmahealth Hawthorne Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3473 Issued in MA

Legal business name

PHARMAHEALTH HAWTHORNE INC

Doing business as

Pharmahealth Hawthorn

Practice address

535 Faunce Corner Rd
North Dartmouth, MA 02747-1242

Phone

(508) 998-7888

Fax

(508) 998-9866

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Jessica Tavares, RPH

Title

Director of Compliance

Phone

(508) 998-8000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PHARMAHEALTH HAWTHORN Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1932207917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194721",
            "telephone_number": "508-998-8000",
            "fax_number": "508-998-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-998-7888",
            "fax_number": "508-998-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAHEALTH HAWTHORNE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "508-998-8000",
        "authorized_official_credential": "RPH"
    },
    "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": "3473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423351",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMAHEALTH HAWTHORN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa E Pereira, LICSW
• Mark E Perry, M.D.
• Ryan Perry, PMHNP-BC
• Christian A Petrulio, MD
• Sally L Pettus, SALLY PETTUS ED.D
• Julie M Phenix, MS CCC SLP
• Matthew Frank Philips, M.D.
• Heather M Pianfetti, AUD
• James Picard
• Kevin Pickering, ATC

• Community/Retail Pharmacy in North Dartmouth, MA
• Providers in North Dartmouth, 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 Mar 5, 2015; 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.