Organization Active NPI

Bioscrip Pharamcy Inc

  • Community/Retail Pharmacy
  • Boston, MA
National Provider Identifier
1104820679
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2944 Issued in MA
Legal business name
BIOSCRIP PHARAMCY INC
Practice address
21 Stanhope St
Boston, MA 02116-5111
Phone
(617) 375-7969
NPI assigned
Jun 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
James Melancon
Title
Vice President
Phone
(917) 449-6939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 2944 MA Primary

Addresses

Primary practice location

21 Stanhope St
Boston, MA 02116-5111

Mailing address

10050 Crosstown Cir
Ste 300
Eden Prairie, MN 55344-3348
Phone (800) 753-5995

Other identifiers 6

IdentifierTypeStateIssuer
1010392MedicaidVT
30702329MedicaidNH
0448133MedicaidMA
414360000MedicaidME
02732763MedicaidNY
003128718MedicaidCT

Other names 1

  • BioScrip Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

21 Stanhope St
Boston, MA 02116
Phone (617) 232-5457

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1104820679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 CROSSTOWN CIR",
            "address_2": "STE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443348",
            "telephone_number": "800-753-5995",
            "fax_number": "952-352-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STANHOPE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165111",
            "telephone_number": "617-375-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSCRIP PHARAMCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-11",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-449-6939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010392",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30702329",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448133",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414360000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02732763",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128718",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioScrip Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.