Nicholas Baccari, PHRM D

Individual provider Active NPI Pharmacist · Gloucester, MA

NPI 1962637546 · NPPES record last updated May 26, 2009

Key facts

NPI
1962637546
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
27586 (MA)
Practice address
127 Eastern Ave
Gloucester, MA 01930-1802
Phone
(978) 281-2720
Fax
(978) 291-4599
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
27586MAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27586 MA Yes

Addresses

Primary practice location

127 Eastern Ave
Gloucester, MA 01930-1802

Mailing address

127 Eastern Ave
Gloucester, MA 01930-1802
Phone (978) 281-2720

Other providers in Gloucester, MA

All providers in Gloucester, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.