Organization Active NPI

Keyes Drug Inc

  • Community/Retail Pharmacy
  • Auburndale, MA
National Provider Identifier
1174681522
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2125 Issued in MA
Legal business name
KEYES DRUG INC
Doing business as
Keyes Drug Inc
Practice address
2090 Commonwealth Ave
Auburndale, MA 02466-1911
Phone
(617) 244-2794
Fax
(617) 332-8094
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Saad Dinno, RPH
Title
President/Owner/Pharmacist
Phone
(978) 369-3100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2125 MA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2090 Commonwealth Ave
Auburndale, MA 02466-1911

Mailing address

2090 Commonwealth Ave
Auburndale, MA 02466-1911
Phone (617) 244-2794

Other identifiers 2

IdentifierTypeStateIssuer
0439738MedicaidMA
2231556OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KEYES DRUG INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930039867 MA DME Supplier - Pharmacy 5799804696 Practice locations: Auburndale, MA
O20200923000169 MA Part B Supplier - Pharmacy 5799804696 Practice locations: Auburndale, MA

National Provider Directory

National Provider Directory

Locations

2090 Commonwealth Ave
Auburndale, MA 02466
Phone (617) 244-2794

Practitioners & affiliated clinicians

Practitioners 4

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1174681522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 COMMONWEALTH AVE",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024661911",
            "telephone_number": "617-244-2794",
            "fax_number": "617-332-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 COMMONWEALTH AVE",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024661911",
            "telephone_number": "617-244-2794",
            "fax_number": "617-332-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYES DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "DINNO",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHARMACIST",
        "authorized_official_telephone_number": "978-369-3100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "2125",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2231556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEYES DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KEYES DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburndale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.