Organization Active NPI

Union Pharmacy Needham LLC

Doing business as Union Pharmacy Needham

  • Community/Retail Pharmacy
  • Needham, MA
National Provider Identifier
1023875572
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNION PHARMACY NEEDHAM LLC
Doing business as
Union Pharmacy Needham
Practice address
1004 Great Plain Ave
Needham, MA 02492-2508
Phone
(781) 675-3755
Fax
(781) 675-3756
NPI assigned
Mar 1, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Xiaoyan Qin, PHARMD
Title
Owner
Phone
(617) 928-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1004 Great Plain Ave
Needham, MA 02492-2508

Mailing address

1004 Great Plain Ave
Needham, MA 02492-2508
Phone (781) 675-3755

Other names 1

  • Union Pharmacy Needham Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528001437 MA Part B Supplier - Mass Immunization (Roster Biller Only) 5294177929 Practice locations: Needham, MA

National Provider Directory

National Provider Directory

Locations

1004 Great Plain Ave
Needham, MA 02492
Phone (781) 675-3755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1023875572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922508",
            "telephone_number": "781-675-3755",
            "fax_number": "781-675-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922508",
            "telephone_number": "781-675-3755",
            "fax_number": "781-675-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PHARMACY NEEDHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "QIN",
        "authorized_official_first_name": "XIAOYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-928-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Pharmacy Needham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Pharmacy Needham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.