Organization Active NPI

Worcester Family Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Worcester, MA
National Provider Identifier
1972708576
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3523 Issued in MA
Legal business name
WORCESTER FAMILY PHARMACY, INC.
Practice address
108 Grove St
Suite 12
Worcester, MA 01605-2651
Phone
(508) 791-1100
Fax
(508) 791-8800
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Mr. Hamid Mohaghegh, RPH, MS, MHA
Title
Owner
Phone
(508) 755-4173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3523 MA Primary

Addresses

Primary practice location

108 Grove St
Suite 12
Worcester, MA 01605-2651

Mailing address

100 Grove St
Suite 201
Worcester, MA 01605-2627
Phone (508) 755-4173

Other identifiers 1

IdentifierTypeStateIssuer
2241898OtherMANCPDP PROVIDER ID NUMBER

National Provider Directory

National Provider Directory

Locations

108 Grove St
Ste 12
Worcester, MA 01605
Phone (508) 791-1100

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1972708576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052627",
            "telephone_number": "508-755-4173",
            "fax_number": "508-755-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GROVE ST",
            "address_2": "SUITE 12",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052651",
            "telephone_number": "508-791-1100",
            "fax_number": "508-791-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MOHAGHEGH",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-755-4173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MS, MHA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID NUMBER",
            "identifier": "2241898",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.