NPIMap

Organization Active NPI

Waltham Drug LLC

  • Long Term Care Pharmacy
  • Waltham, MA
National Provider Identifier
1194582015
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WALTHAM DRUG LLC
Practice address
923 Main St
Waltham, MA 02451-7416
Phone
(781) 472-2281
Fax
(781) 790-8914
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Mr. Oleg Urim, RPH
Title
Manager
Phone
(781) 405-3228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

923 Main St
Waltham, MA 02451-7416

Mailing address

923 Main St
Waltham, MA 02451-7416
Phone (781) 472-2281

Other names 1

  • Watch City Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Waltham Drug LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1194582015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517416",
            "telephone_number": "781-472-2281",
            "fax_number": "781-790-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517416",
            "telephone_number": "781-472-2281",
            "fax_number": "781-790-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTHAM DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "URIM",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-405-3228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watch City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watch City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.