NPIMap

Organization Active NPI

Umass Memorial Medical Center, Inc.

  • Pharmacy
  • Worcester, MA
National Provider Identifier
1992068381
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
DS89916 Issued in MA
Legal business name
UMASS MEMORIAL MEDICAL CENTER, INC.
Practice address
119 Belmont St
Memorial Campus
Worcester, MA 01605-2903
Phone
(508) 421-1990
Fax
(508) 334-6100
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Brian Huggins
Title
SVP Finance/Corp Controller
Phone
(508) 334-0252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X DS89916 MA Primary
Community/Retail Pharmacy 3336C0003X DS89818 MA

Addresses

Primary practice location

119 Belmont St
Memorial Campus
Worcester, MA 01605-2903

Mailing address

119 Belmont St
Memorial Campus
Worcester, MA 01605-2903
Phone (508) 421-1990

Other identifiers 3

IdentifierTypeStateIssuer
110022124ZMedicaidMA
110022124OMedicaidMA
2242319OtherMANCPDP

Other names 1

  • Prescription Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Umass Memorial Medical Center Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1992068381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "address_2": "MEMORIAL CAMPUS",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-421-1990",
            "fax_number": "508-334-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "address_2": "MEMORIAL CAMPUS",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-421-1990",
            "fax_number": "508-334-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SVP FINANCE/CORP CONTROLLER",
        "authorized_official_telephone_number": "508-334-0252"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS89916",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110022124Z",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110022124O",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2242319",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 27, 2024; 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.