NPI Code Details Logo

NPI 1689676447

NPI 1689676447 : GEORGE L PAPPAS RPH : SPRINGFIELD, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689676447
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GEORGE L PAPPAS RPH
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/11/2005
-----------------------------------------------------
    Last Update Date     |    02/19/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2145 ROOSEVELT AVE 
-----------------------------------------------------
    City                 |    SPRINGFIELD
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01104-1650
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    413-504-4492
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    76 MACARTHUR DR 
-----------------------------------------------------
    City                 |    MILLBURY
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01527-3547
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    413-504-4492
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    9456
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    17660
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1835N1003X
-----------------------------------------------------
    Taxonomy Name        |    Nutrition Support Pharmacist
-----------------------------------------------------
    License Number       |    17660
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1835N1003X
-----------------------------------------------------
    Taxonomy Name        |    Nutrition Support Pharmacist
-----------------------------------------------------
    License Number       |    9456
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    1835P1200X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacotherapy Pharmacist
-----------------------------------------------------
    License Number       |    17660
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    1835P1200X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacotherapy Pharmacist
-----------------------------------------------------
    License Number       |    9456
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    1835P1300X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric Pharmacist
-----------------------------------------------------
    License Number       |    17660
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    1835P1300X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric Pharmacist
-----------------------------------------------------
    License Number       |    9456
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.