| NPI | 1174049555 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-08-17 |
| Last Updated | 2025-11-12 |
| Authorized Official | Tracie Ezzio Owner Phone: 9784336130 |
| Mailing Address | 74 Main St Pepperell, MA 01463-1560 United States Phone: (978) 433-6130 | Fax: (978) 433-1881 📍 View Map |
| Primary Practice Address | 74 Main St Pepperell, MA 01463-1560 United States Phone: (978) 433-6130 | Fax: (978) 433-1881 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336L0003X – Pharmacy, Long Term Care Pharmacy | MA | CS3541 |
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About NPI 1174049555
Pepperell Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174049555. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Pepperell, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-08-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174049555?
NPI 1174049555 belongs to Pepperell Pharmacy Inc, a Pharmacy, Long Term Care Pharmacy in Pepperell, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174049555 active?
The current status of NPI 1174049555 in the NPPES registry is Active. The record was last updated on 2025-11-12.
What specialty is NPI 1174049555?
NPI 1174049555 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174049555?
You can verify NPI 1174049555 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174049555?
The primary practice address on file for NPI 1174049555 is 74 Main St, Pepperell, MA 01463-1560. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174049555 issued?
NPI 1174049555 was first issued (enumerated) on 2017-08-17. The NPPES record was last updated on 2025-11-12.
Practice Location Map
Pepperell Pharmacy Inc is located at 74 Main St, Pepperell, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pepperell Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174049555. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | CS3541 | MA |