Organization Active NPI

Ball Pharmacy Corp

  • Community/Retail Pharmacy
  • Lynn, MA
National Provider Identifier
1194856294
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1279 Issued in MA
Legal business name
BALL PHARMACY CORP
Practice address
232 Lewis St
Lynn, MA 01902-4864
Phone
(781) 598-9400
Fax
(781) 598-9401
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Edward Ball, RPH
Title
President and Manager
Phone
(781) 598-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1279 MA Primary

Addresses

Primary practice location

232 Lewis St
Lynn, MA 01902-4864

Mailing address

232 Lewis St
Lynn, MA 01902-4864
Phone (781) 598-9400

Other identifiers 2

IdentifierTypeStateIssuer
2224323OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0432407MedicaidMA

Other names 1

  • CROWN DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

232 Lewis St
Lynn, MA 01902
Phone (781) 598-9400

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1194856294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 LEWIS ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024864",
            "telephone_number": "781-598-9400",
            "fax_number": "781-598-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 LEWIS ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024864",
            "telephone_number": "781-598-9400",
            "fax_number": "781-598-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGER",
        "authorized_official_telephone_number": "781-598-9400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2224323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432407",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.