Active NPIIndividual provider

Alica Mom

Pharmacy Technician in Peabody, Massachusetts

NPI Number1013788223
Practice location
2 Centennial Dr, Peabody, MA 01960-7911
Fax
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Last updated
January 16, 2024

Alica Mom is a Pharmacy Technician based in Peabody, MA. Alica Mom practices in Peabody, MA. The NPI Number for Alica Mom is 1013788223 and holds a License No. PT101225 (MA). The current practice location address for Alica Mom is 2 Centennial Dr, Peabody, MA 01960-7911 and can be reached out via phone at 978-977-7744.

Provider Profile Details

NPI Number
1013788223
Provider Name
Alica Mom
Provider Entity Type
Individual
Gender
Female
Address
2 Centennial Dr, Peabody, MA 01960-7911
Phone Number
978-977-7744
Primary Taxonomy
Pharmacy Technician · 183700000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2024
Last Update Date
January 16, 2024
Certification Date
December 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Centennial Dr
Peabody, MA 01960-7911
Zip
01960-7911
Phone Number
978-977-7744
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
13 Varnum St
Haverhill, MA 01832-5216
City
Haverhill
State
MA
Zip
01832-5216
Phone Number
781-691-1028

License Information

License Number
PT101225
License State
MA
Taxonomy
Pharmacy Technician · 183700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alica Mom?

The NPI number of Alica Mom is 1013788223. It was assigned on January 16, 2024 and is currently active in the NPPES registry.

What is the specialty of Alica Mom?

Alica Mom is registered under the primary taxonomy Pharmacy Technician (code 183700000X), licensed in MA under license number PT101225.

Where does Alica Mom practice?

The practice location is 2 Centennial Dr, Peabody, MA 01960-7911. The office can be reached at 978-977-7744 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013788223 directly on the NPPES registry website.

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