MADONNA AGAYBY, Rph — NPI 1477390771 (Licensed & Credentialed Suppliers — Pharmacy, Community

CMS-1500 Box 24J / 33a • NPI

1477390771

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

3336C0003X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy

Box 32 Service Location & ZIP+4

191 N MAIN ST, ATTLEBORO, MA, 02703-1759

✓ 9-Digit EDI 837 ZIP+4 (02703-1759)

Practice Phone & Referral Fax

(857) 351-6161

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477390771 (MADONNA AGAYBY, Rph) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477390771` (NPI-1 Individual Practitioner)
Provider / Legal Name	MADONNA AGAYBY, Rph
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: `3336C0003X` (Pharmacy, Community/Retail Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	191 N MAIN ST, ATTLEBORO, MA, 02703-1759
Practice Telephone / Fax	Tel: (857) 351-6161
Administrative Mailing Address	766 COUNTY ST, ATTLEBORO, MA, 02703-4770
Enumeration & Last Sync	Enumerated: 2024-07-12 \| CMS Record Updated: 2024-07-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

191 N MAIN ST, ATTLEBORO, MA, 02703-1759

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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)

What Does Taxonomy Code 3336C0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Community/Retail Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MADONNA AGAYBY, Rph)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy	State: MA \| License: `PH1000170` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MADONNA AGAYBY, Rph (NPI #1477390771)