Organization Active NPI

A&J Ethos Inc

Doing business as Ethos Compounding Pharmacy

  • Pharmacy
  • Woburn, MA
National Provider Identifier
1033722830
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
A&J ETHOS INC
Doing business as
Ethos Compounding Pharmacy
Practice address
20 Cabot Rd
Woburn, MA 01801-1004
Phone
(855) 509-8222
Fax
(781) 897-6937
NPI assigned
Aug 31, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Andrew Stein, RPH, PHARMD
Title
Co-Owner
Phone
(781) 893-3870

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

20 Cabot Rd
Woburn, MA 01801-1004

Mailing address

577 Main St
Waltham, MA 02452-5527
Phone (781) 893-3870

Other names 1

  • Ethos Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1033722830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525527",
            "telephone_number": "781-893-3870",
            "fax_number": "781-899-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CABOT RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011004",
            "telephone_number": "855-509-8222",
            "fax_number": "781-897-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&J ETHOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "781-893-3870",
        "authorized_official_credential": "RPH, PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.