Active NPIIndividual provider

Amanda D Reisbig

Pharmacist in Stoughton, Massachusetts

NPI Number1790293579
Practice location
100 Technology Center Dr, Stoughton, MA 02072-4710
Fax
—
Last updated
May 26, 2026

Amanda Diane Reisbig is a Pharmacist based in Stoughton, MA. Amanda Diane Reisbig practices in Stoughton, MA. The NPI Number for Amanda Diane Reisbig is 1790293579 and holds a License No. PH239027 (MA). The current practice location address for Amanda Diane Reisbig is 100 Technology Center Dr, Stoughton, MA 02072-4710 and can be reached out via phone at 781-566-5066.

Provider Profile Details

NPI Number
1790293579
Provider Name
Amanda Diane Reisbig
Provider Entity Type
Individual
Gender
Female
Address
100 Technology Center Dr, Stoughton, MA 02072-4710
Phone Number
781-566-5066
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2018
Last Update Date
May 26, 2026
Certification Date
May 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Technology Center Dr
Stoughton, MA 02072-4710
Zip
02072-4710
Phone Number
781-566-5066
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
461 Porter RD
East Longmeadow, MA 01028-1443
City
East Longmeadow
State
MA
Zip
01028-1443
Phone Number
413-478-5400

License Information

License Number (1)
PH239027
License State (1)
MA
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
PI162065
License State (2)
MA
Taxonomy (2)
Pharmacy Technician · 183700000X

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 Amanda D Reisbig?

The NPI number of Amanda D Reisbig is 1790293579. It was assigned on January 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Amanda D Reisbig?

Amanda D Reisbig is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH239027.

Where does Amanda D Reisbig practice?

The practice location is 100 Technology Center Dr, Stoughton, MA 02072-4710. The office can be reached at 781-566-5066 (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 1790293579 directly on the NPPES registry website.

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