BIDMC PHARMACY, INC. (NPI# 1336635614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336635614 |
Entity Type | Organization |
Organization Name | BIDMC PHARMACY, INC. |
Other Organization Name | BIDMC PHARMACY |
Practice Address |
364 Brookline Ave Boston MA 02215-5401 |
Mailing Address |
128 Carnegie Row Ste 110 Norwood MA 02062-5162 |
Practice Telephone | 6176676200 |
Practice Fax Number | 6176676199 |
Mailing Telephone | 7815282662 |
Mailing Fax Number | 7815282620 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-07-10 |
Authorized Official Name | DR. JOHN AWAD (PHARMACIST) |
Authorized Official Telephone | 6034936537 |
Authorized Official Credential | DELEGATED OFFICI |
Is Organization Subpart | Y |
Parent Organization Name | BIDMC PHARMACY, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
DS90256 | MA | Suppliers |
Other Name | Type Code |
---|---|
BIDMC Pharmacy | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346853728 | Bidmc Pharmacy, Inc. | Pharmacy | 80 Wilson Way Ste A, Westwood, MA 02090-1806 | 2020-08-26 |
1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
Street Address |
364 BROOKLINE AVE |
City | BOSTON |
State | MA |
Zip Code | 02215-5401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043830433 | Yena Kim | Pharmacist | 364 Brookline Ave, Boston, MA 02215-5401 | 2020-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
Find all providers in zip 02215 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356990931 | Capsule Pharmacy Boston LLC | Pharmacy | 414 Boylston St, Boston, MA 02116-3801 | 2019-09-06 |
1699154427 | Sun Health Systems | Pharmacy | 3158 Washington St, Boston, MA 02130-4514 | 2015-05-26 |
1659790442 | Walgreen Co | Pharmacy | 75 Amory St Ste 100, Boston, MA 02119-1051 | 2014-04-09 |
1740615574 | Galaxy Pharmacy LLC | Pharmacy | 534 Dorchester Ave Unit C-1, Boston, MA 02127-2762 | 2013-09-11 |
1013340884 | Vietaz Inc | Pharmacy | 2288 Dorchester Ave, Boston, MA 02124-5622 | 2013-08-15 |
1760828149 | Blue Hill Pharmacy LLC | Pharmacy | 320 Blue Hill Ave, Boston, MA 02121-1951 | 2013-05-13 |
1083849525 | Daisys Pharmacy Corp | Pharmacy | 1670 Commonwealth Ave, Boston, MA 02135-5601 | 2009-05-28 |
1437219466 | Giangregorio Bros Inc. | Pharmacy | 393 Hanover St, Boston, MA 02113-1308 | 2006-12-11 |
1659470003 | Cvs Pharmacy Inc | Pharmacy | 55 Summer St, Boston, MA 02110-1007 | 2006-09-22 |
1235238536 | Cvs Pharmacy Inc | Pharmacy | 218 Hanover St, Boston, MA 02113-2302 | 2006-09-22 |
Find all providers in BOSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.