NPIMap

Organization Active NPI

Caritas St Elizabeth Health Care

Doing business as Brighton Marine Pharmacy

  • Managed Care Organization Pharmacy
  • Brighton, MA
National Provider Identifier
1043359854
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
MA0148848 Issued in MA
Legal business name
CARITAS ST ELIZABETH HEALTH CARE
Doing business as
Brighton Marine Pharmacy
Practice address
77 Warren St
Phcy Dept
Brighton, MA 02135-3601
Phone
(617) 562-5304
Fax
(617) 562-5296
NPI assigned
Feb 6, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
James Germano, RPH
Title
Phcy MGR
Phone
(617) 562-5302

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Mail Order Pharmacy 3336M0002X
Managed Care Organization Pharmacy 3336M0003X MA0148848 MA Primary
Specialty Pharmacy 3336S0011X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

77 Warren St
Phcy Dept
Brighton, MA 02135-3601

Mailing address

77 Warren St
Phcy Dept
Brighton, MA 02135-3601

Other identifiers 3

IdentifierTypeStateIssuer
0401200MedicaidMA
2226175OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2226175OtherOTHER ID NUMBER

Other names 1

  • BRIGHTON MARINE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caritas St Elizabeth Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1043359854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "PHCY DEPT",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "PHCY DEPT",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-562-5304",
            "fax_number": "617-562-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS ST ELIZABETH HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "GERMANO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHCY MGR",
        "authorized_official_telephone_number": "617-562-5302",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "MA",
            "license": "MA0148848",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2226175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2226175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTON MARINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.