MEDICARE: PYRAMID NUTRITION SERVICES, INC

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1134648611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PYRAMID NUTRITION SERVICES, INC

Provider Business Mailing Address
First Line	:	128 TANNERY RD
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 WESTFIELD ST STE C
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-2577
Country	:	US
Telephone Number	:	413-786-2957
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE K FRANK-MASLAR
Credential	:
Telephone Number	:	413-786-2957

Provider Enumeration Date	:	09/15/2017
Last Update Date	:	02/12/2026

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