Active NPIIndividual provider

Dr. Sophous Tep, PHARMD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Leeds, Massachusetts

NPI Number1114204393
Practice location
421 N Main St, Leeds, MA 01053-9764
Fax
—
Last updated
May 17, 2023

Sophous Tep is a Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Leeds, MA. Sophous Tep practices in Leeds, MA and has the professional credentials of PHARMD. The NPI Number for Sophous Tep is 1114204393 and holds a License No. PH27359 (MA). The current practice location address for Sophous Tep is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-584-4040.

Provider Profile Details

NPI Number
1114204393
Provider Name
Sophous Tep
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
421 N Main St, Leeds, MA 01053-9764
Phone Number
413-584-4040
Sole Proprietor
No
Provider Enumeration Date
November 15, 2011
Last Update Date
May 17, 2023
Certification Date
May 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
Zip
01053-9764
Phone Number
413-584-4040
Leeds, MA 01053Get directions →

Provider Business Mailing Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
State
MA
Zip
01053-9764

License Information

License Number
PH27359
License State
MA

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 Dr. Sophous Tep, PHARMD?

The NPI number of Dr. Sophous Tep, PHARMD is 1114204393. It was assigned on November 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Sophous Tep, PHARMD?

Dr. Sophous Tep, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (code 1835P0018X), licensed in MA under license number PH27359.

Where does Dr. Sophous Tep, PHARMD practice?

The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-584-4040 (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 1114204393 directly on the NPPES registry website.

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