Provider Demographics
NPI:1447701297
Name:FARINELLI, JODY ANN (RPH)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:ANN
Last Name:FARINELLI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-2162
Mailing Address - Country:US
Mailing Address - Phone:978-249-9132
Mailing Address - Fax:
Practice Address - Street 1:1640 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-2162
Practice Address - Country:US
Practice Address - Phone:978-249-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2022-11-21
Deactivation Date:2022-10-26
Deactivation Code:
Reactivation Date:2022-11-21
Provider Licenses
StateLicense IDTaxonomies
MAPH23449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist