# R&K FERGUSON NANTUCKET LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nantucket Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750441952
- **Authorized official:** MR. KIP FERGUSON (OWNER)
- **Authorized official phone:** (508) 228-0180

## Contact information

- **Practice address:** 45 MAIN ST, NANTUCKET, MA 02554-3542
- **Practice address phone:** (508) 228-0180
- **Practice address fax:** (508) 325-7106
- **Mailing address:** 45 MAIN ST, PO BOX 1056, NANTUCKET, MA 02554-3542
- **Mailing address phone:** (508) 228-0180
- **Mailing address fax:** (508) 325-7106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10324 | MA | Yes |
| 3336L0003X | Long Term Care Pharmacy | 10324 | MA | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 02/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0425362 | — | MA |
| 01 | — | 378754 | BCBS | MA |
