Healthcare Provider Details

I. General information

NPI: 1295858793
Provider Name (Legal Business Name): BRIAN ONEIL R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HENDRICK ST
CHICOPEE MA
01020-2512
US

IV. Provider business mailing address

PO BOX 5242
SPRINGFIELD MA
01101-5242
US

V. Phone/Fax

Practice location:
  • Phone: 413-726-6049
  • Fax: 413-726-6049
Mailing address:
  • Phone: 413-726-6049
  • Fax: 413-726-6049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19940
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number19940
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: