Pearl Street Pharmacy
Pharmacy, Community/Retail Pharmacy in Brockton, Massachusetts
1639351364- Practice location
- 1 Pearl St, Brockton, MA 02301-2864
- Phone
- 508-588-7455
- Fax
- 508-588-7400
- Last updated
- January 3, 2008
Pearl Street Pharmacy is a healthcare organization based in Brockton, MA. Pearl Street Pharmacy practices in Brockton, MA. The NPI Number for Pearl Street Pharmacy is 1639351364 and holds a License No. DS3565 (MA). The current practice location address for Pearl Street Pharmacy is 1 Pearl St, Brockton, MA 02301-2864 and can be reached out via phone at 508-588-7455 and via fax at 508-588-7400.
Provider Profile Details
- NPI Number
- 1639351364
- Provider Name
- Pearl Street Pharmacy
- Provider Entity Type
- Organization
- Address
- 1 Pearl St, Brockton, MA 02301-2864
- Phone Number
- 508-588-7455
- Fax Number
- 508-588-7400
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Rocky Tengalia, RPH · President · 781-925-2378
- Provider Enumeration Date
- December 5, 2007
- Last Update Date
- January 3, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Pearl St
Brockton, MA 02301-2864 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-2864
- Phone Number
- 508-588-7455
- Fax Number
- 508-588-7400
Provider Business Mailing Address Details
- Address
- 1 Pearl St
Brockton, MA 02301-2864 - City
- Brockton
- State
- MA
- Zip
- 02301-2864
License Information
- License Number
- DS3565
- License State
- MA
- Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Pearl Street Pharmacy?
The NPI number of Pearl Street Pharmacy is 1639351364. It was assigned on December 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Pearl Street Pharmacy?
Pearl Street Pharmacy is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in MA under license number DS3565.
Where does Pearl Street Pharmacy practice?
The practice location is 1 Pearl St, Brockton, MA 02301-2864. The office can be reached at 508-588-7455 (phone) or 508-588-7400 (fax).
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 1639351364 directly on the NPPES registry website.