Heidi Farwell
Individual provider Active NPI Pharmacist · Kingston, MA
NPI 1972199677 · NPPES record last updated Dec 16, 2020
Key facts
- NPI
- 1972199677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH23945 (MA)
- Practice address
- 189 Summer St
Kingston, MA 02364-1247 - Phone
- (781) 585-6581
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH23945 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PH23945 | MA | Yes |
Addresses
Primary practice location
189 Summer St
Kingston, MA 02364-1247
Mailing address
189 Summer St
Kingston, MA 02364-1247
Phone (781) 585-6581
Other providers in Kingston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.