PRESCOTT PHARMACY LTC INC NPI 1023562006

NPI Information

  • NPI: 1023562006
  • Provider Name: PRESCOTT PHARMACY LTC INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: PRESCOTT PHARMACY LTC, INC.
  • Address: 100 GROVE ST STE B12
    WORCESTER, MA
    ZIP 01605
  • Phone: (508) 683-0260

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NPI Details

PRESCOTT PHARMACY LTC INC is a long term care pharmacy pharmacy in Worcester, MA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PRESCOTT PHARMACY LTC INC NPI is 1023562006. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Pharmacy Ltc, Inc..

The provider's business location address is:

100 GROVE ST STE B12
WORCESTER, MA
ZIP 01605-630
Phone: (508) 683-0260
Fax: (508) 683-0270

The provider's authorized official is Daniel Timothy Buffum .
The authorized official title is Pharmacy Manager and has the following contact phone number (508) 683-0260.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 8/8/2016 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyDS90051MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12162515OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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