# NATICK FAMILY PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Natick Family Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083074660
- **Authorized official:** DANIEL JIMENEZ (CFO)
- **Authorized official phone:** (508) 755-4173

## Contact information

- **Practice address:** 67 UNION ST UNIT 1-1, NATICK, MA 01760-7700
- **Practice address phone:** (508) 720-4937
- **Practice address fax:** (508) 720-4973
- **Mailing address:** 100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
- **Mailing address phone:** (508) 755-4173
- **Mailing address fax:** (508) 755-4524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 02/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2158204 | PK | — |