Organization Active NPI

Wareham Pharmacy Inc

  • Community/Retail Pharmacy
  • Wareham, MA
National Provider Identifier
1952472102
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1499 Issued in MA
Legal business name
WAREHAM PHARMACY INC
Practice address
2400 Cranberry Hwy
Wareham, MA 02571-1043
Phone
(508) 295-7399
Fax
(508) 295-6163
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Kenneth Paul Sanasarian, R.PH.NPI 1376614529
Title
Registrant
Phone
(508) 295-7399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1499 MA Primary

Addresses

Primary practice location

2400 Cranberry Hwy
Wareham, MA 02571-1043

Mailing address

2400 Cranberry Hwy
Wareham, MA 02571-1043
Phone (508) 295-7399

Other identifiers 2

IdentifierTypeStateIssuer
0422622MedicaidMA
2216819OtherMANCPDP

National Provider Directory

National Provider Directory

Locations

2400 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-7399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952472102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711043",
            "telephone_number": "508-295-7399",
            "fax_number": "508-295-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711043",
            "telephone_number": "508-295-7399",
            "fax_number": "508-295-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREHAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SANASARIAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "REGISTRANT",
        "authorized_official_telephone_number": "508-295-7399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422622",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2216819",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.