Healthcare Provider Details

I. General information

NPI: 1437213816
Provider Name (Legal Business Name): UMASS HEALTH SERVICES AMHERST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 INFIRMARY WAY
AMHERST MA
01003
US

IV. Provider business mailing address

150 INFIRMARY WAY
AMHERST MA
01003-9288
US

V. Phone/Fax

Practice location:
  • Phone: 413-577-5000
  • Fax: 413-577-5117
Mailing address:
  • Phone: 413-577-5000
  • Fax: 413-577-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25441
License Number StateMA

VIII. Authorized Official

Name: DIANE LUCAS
Title or Position: PHARMACIST
Credential:
Phone: 413-577-5000