1851518120 NPI number — PRESCRIPTION ASSOCIATES INC

Table of content: (NPI 1851518120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851518120 NPI number — PRESCRIPTION ASSOCIATES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRESCRIPTION ASSOCIATES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851518120
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5242
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01101-5242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-726-6049
Provider Business Mailing Address Fax Number:
413-726-6049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
90 HENDRICK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICOPEE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01020-2512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-726-6049
Provider Business Practice Location Address Fax Number:
413-726-6049
Provider Enumeration Date:
04/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ONEIL
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
413-726-6049

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  19940 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1835G0303X , with the licence number: 19940 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1835P1200X , with the licence number: 19940 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1835P1300X , with the licence number: 19940 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)