FAMILY HEALTH CENTER OF WORCESTER, INC. (NPI# 1447399225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447399225 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER OF WORCESTER, INC. |
| Other Organization Name | FHCW, INC-PHARMACY |
| Practice Address |
26 Queen St Pharmacy Worcester MA 01610-2473 |
| Practice Telephone | 5088607962 |
| Practice Fax Number | 5088607929 |
| Mailing Telephone | 5088607962 |
| Mailing Fax Number | 5088607929 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | MS. ALYDA JUSTINIANO (CREDENTIALING/PROVIDER RELATIONS) |
| Authorized Official Telephone | 5088607962 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTER OF WORCESTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 401 | MA | Suppliers |
| Other Name | Type Code |
|---|---|
| FHCW, INC-PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183913 | Family Health Center of Worcester, Inc. | Clinic/Center | 420 Grafton St, Worcester, MA 01604-3802 | 2018-02-02 |
| 1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
| 1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
| 1144514316 | Family Health Center of Worcester, Inc. | Clinic/Center | 15 Claremont St, School-based Health Center, Worcester, MA 01610-1436 | 2011-06-06 |
| 1720647209 | Family Health Center of Worcester, Inc. | Clinic/Center | 162 Chandler St, Worcester, MA 01609-2924 | 2019-06-10 |
| 1326582024 | Family Health Center of Worcester, Inc. | Clinic/Center | 32 Orchard St, Southbridge, MA 01550-4004 | 2016-12-14 |
| 1265858773 | Family Health Center of Worcester, Inc. | Clinic/Center | 29 Orchard St, Southbridge, MA 01550-4003 | 2014-03-07 |
| 1770878225 | Family Health Center of Worcester, Inc. | Clinic/Center | 170 Apricot St, School-based Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1780851600 | Family Health Center of Worcester, Inc. | Clinic/Center | 645 Park Ave, Worcester, MA 01603 | 2008-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTER OF WORCESTER, INC. | 26 Queen St Ste 3, Worcester, MA 01610-2473 |
| Street Address |
26 QUEEN ST PHARMACY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
| 1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
| 1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
| 1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
| 1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
| 1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
| 1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
| 1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588753115 | Big Y Foods Inc | Pharmacy | 100 Mayfield St, Worcester, MA 01602-3453 | 2006-10-12 |
| 1831202217 | Golub Corporation | Pharmacy | 72 Pullman St, Worcester, MA 01606-3311 | 2006-08-17 |
| 1063525574 | Golub Corporation | Pharmacy | 50 Cambridge St, Worcester, MA 01610 | 2006-08-17 |
| 1912939893 | Stop and Shop Supermarket Co LLC | Pharmacy | 949 Grafton St, Worcester, MA 01604-2003 | 2006-07-07 |
| 1801842331 | Shaws Supermarkets Inc | Pharmacy | 201 Grafton St, Worcester, MA 01604-4904 | 2006-05-26 |
| 1477851798 | Quality Pharmacy Corp | Pharmacy | 664 Main St, Worcester, MA 01610-3124 | 2011-03-10 |
| 1669630950 | Umass Memorial Medical Center, Inc. | Pharmacy | 119 Belmont St, Memorial Campus, Worcester, MA 01605-2903 | 2008-05-23 |
| 1346384641 | Winthrop Apothecary, Inc. | Pharmacy | 10 Winthrop St, Worcester, MA 01604-4435 | 2007-02-19 |
| 1679574933 | Umass Memorial Medical Center | Pharmacy | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1356973887 | Dana-farber Cancer Institute, Inc. | Pharmacy | 5 Branch Street, Floor 1, Room 1040, Methuen, MA 01844-1964 | 2020-02-12 |
| 1053819482 | Allied Pharmacy Inc. | Pharmacy | 10-12 Hampshire Street, Lawrence, MA 01840 | 2018-01-31 |
| 1336653021 | Genoa Healthcare, LLC | Pharmacy | 1 Arch Pl Ste P, Greenfield, MA 01301-2457 | 2017-11-17 |
| 1033656814 | Metrowest Pharmacy LLC | Pharmacy | 214 Union Ave, Framingham, MA 01702-8285 | 2017-01-31 |
| 1134587397 | Cure-aid Pharmacy Inc | Pharmacy | 203 Essex St, Lawrence, MA 01840-1510 | 2016-02-03 |
| 1962876342 | Maxim Rx Group | Pharmacy | 267 Old Colony Ave, South Boston, MA 02127-3520 | 2015-11-23 |
| 1518336577 | Wegmans Food Markets, Inc. | Pharmacy | 169 University Ave, Westwood, MA 02090-2325 | 2015-09-21 |
| 1659754208 | Price Chopper Operating Co of Mass Inc | Pharmacy | 21 Galaxy Pass, Sutton, MA 01590-4836 | 2015-07-01 |
| 1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.