MEDICARE: PPS OF MASSACHUSETTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1104778463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PPS OF MASSACHUSETTS LLC

Provider Business Mailing Address
First Line	:	181 CEDAR HILL ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-3057
Country	:	US
Telephone Number	:	508-624-8847
Fax Number	:	508-624-8880

Provider Business Practice Location Address
First Line	:	181 CEDAR HILL ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-3057
Country	:	US
Telephone Number	:	508-624-8847
Fax Number	:	508-624-8880

Authorized Official
Title or Position	:	COO
Name	:	JAMES MATTHEWS
Credential	:	RPH
Telephone Number	:	908-931-9111

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “PPS OF MASSACHUSETTS LLC ” Practice Location

Language	Start Address	Practice Location

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