Active NPI
Loc DO, RPH
- Pharmacist
- Methuen, MA
National Provider Identifier
1982156279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4268
- Practice address
- 246 Broadway Unit 2
Methuen, MA 01844-3044 - Phone
- (978) 258-5828
- NPI assigned
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4268 | NH | Primary |
| Pharmacist | 183500000X | PH238830 | MA |
Addresses
Primary practice location
246 Broadway Unit 2
Methuen, MA 01844-3044
Mailing address
246 Broadway Unit 2
Methuen, MA 01844-3044
Phone (978) 258-5828
Other practice location 1
550 Amherst St
Nashua, NH 03063-1016
Phone (603) 595-3373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH238830 | MA | MD | Pharmacist |
| 4268 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betterlife Pharmacy Inc | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
246 Broadway
Unit 2
Methuen, MA 01844
Phone (978) 258-5828
Interoperability endpoints
- ldo122953@direct.challiance.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Methuen, MA
- NPI 1992356315
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1982156279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 BROADWAY UNIT 2",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443044",
"telephone_number": "978-258-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 BROADWAY UNIT 2",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443044",
"telephone_number": "978-258-5828"
}
],
"practiceLocations": [
{
"address_1": "550 Amherst St",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030631016",
"country_code": "US",
"telephone_number": "603-595-3373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DO",
"first_name": "LOC",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "4268",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238830",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.