NPIMap

Organization Active NPI

Steward St Elizabeths Medical Center of Boston Inc

Doing business as Brighton Marine Health Center Pharmacy

  • Mail Order Pharmacy
  • Brighton, MA
National Provider Identifier
1053626283
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
MA0058873 Issued in MA
Legal business name
STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
Doing business as
Brighton Marine Health Center Pharmacy
Practice address
77 Warren St
Phcy Dept
Brighton, MA 02135-3601
Phone
(617) 562-5304
Fax
(617) 562-5296
NPI assigned
Aug 12, 2010
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
James Germano
Title
Pharmacy Director
Phone
(617) 562-5302

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Mail Order Pharmacy 3336M0002X MA0058873 MA Primary
Managed Care Organization Pharmacy 3336M0003X NU

Addresses

Primary practice location

77 Warren St
Phcy Dept
Brighton, MA 02135-3601

Mailing address

77 Warren St
Phcy Dept
Brighton, MA 02135-3682
Phone (617) 562-5304

Other identifiers 2

IdentifierTypeStateIssuer
2128070OtherPK
110087064CMedicaidMA

Other names 1

  • Brighton Marine Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steward St Elizabeths Medical Center of Boston Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1053626283",
    "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": "021353682",
            "telephone_number": "617-562-5304",
            "fax_number": "617-562-5296"
        },
        {
            "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": "STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GERMANO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "617-562-5302"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MA",
            "license": "MA0058873",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087064C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Marine Health Center 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 19, 2025; 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.