Union Pharmacy Newtonville LLC
Organization Active NPI Community/Retail Pharmacy · Newtonville, MA
NPI 1063145654 · NPPES record last updated Jul 1, 2022
Key facts
- NPI
- 1063145654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- UNION PHARMACY NEWTONVILLE LLC
- Practice address
- 317 Walnut St
Newtonville, MA 02460-1927 - Phone
- (857) 297-4455
- Fax
- (857) 297-4458
- NPI assigned
- Jul 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Xiaoyan Qin, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (857) 297-4455
Practitioners 2
-
Heather Downs, RPH
-
Diana Thao Nguyen, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221111001339 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810364320 | Practice locations: Newtonville, MA |
National Provider Directory
Locations
317 Walnut St
Newtonville, MA 02460
Phone (857) 294-4455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
317 Walnut St
Newtonville, MA 02460-1927
Mailing address
317 Walnut St
Newtonville, MA 02460-1927
Phone (857) 297-4455
Other names
- Union Pharmacy Newtonville
- Union Pharmacy Newtonvillle
Other providers in Newtonville, MA
- Denis Shlosman
- Dana Shulsinger
- Softtouch Dentistry
- Eda Spielman
- Lora Heims Tessman
- Mark B Wenneker
- Jacqueline Rose Woods
- Juliet Yuan
All providers in Newtonville, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.