Organization Active NPI

Target Pharmacy

  • Pharmacist
  • Boston, MA
National Provider Identifier
1245611151
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH234412 Issued in MA
Legal business name
TARGET PHARMACY
Practice address
8 Saint Casimir St
Boston, MA 02127-2121
Phone
(617) 763-1910
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Ashenafi Mulu, PHARM.D.
Title
Pharmacist
Phone
(617) 763-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH234412 MA Primary

Addresses

Primary practice location

8 Saint Casimir St
Boston, MA 02127-2121

Mailing address

8 Saint Casimir St
Boston, MA 02127-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1245611151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAINT CASIMIR ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SAINT CASIMIR ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272121",
            "telephone_number": "617-763-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "MULU",
        "authorized_official_first_name": "ASHENAFI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "617-763-1910",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2015; 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.