# UMASS MEMORIAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UMass Memorial Medical Center Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831461086
- **Authorized official:** BRIAN SMITH (DIRECTOR, SPECIALTY PHARMACY)
- **Authorized official phone:** (508) 740-8131

## Contact information

- **Practice address:** 55 LAKE AVE N STE AC1.033, WORCESTER, MA 01655-0002
- **Practice address phone:** (888) 639-3988
- **Practice address fax:** (866) 344-0186
- **Mailing address:** 55 LAKE AVE N, SUITE AC1.033, WORCESTER, MA 01655-0002
- **Mailing address phone:** (888) 639-3988
- **Mailing address fax:** (866) 344-0186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | DS89822 | MA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 08/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110093140 | — | MA |
| 01 | — | 2135484 | PK | — |