NPIMap

Organization Active NPI

South Cove Community Health Center, Inc.

Doing business as SCCHC Pharmacy

  • Long Term Care Pharmacy
  • Boston, MA
National Provider Identifier
1285482729
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Doing business as
SCCHC Pharmacy
Practice address
256 Harrison Ave
Boston, MA 02111-1835
Phone
(617) 482-6419
Fax
(617) 482-6162
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mr. Eric Tiberi
Title
Ceo
Phone
(617) 521-6708

Specialties & licenses 1

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

Addresses

Primary practice location

256 Harrison Ave
Boston, MA 02111-1835

Mailing address

145 South St
Boston, MA 02111-2826
Phone (617) 521-6708

Other names 1

  • SCCHC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Cove Comm Health7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1285482729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112826",
            "telephone_number": "617-521-6708",
            "fax_number": "617-521-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111835",
            "telephone_number": "617-482-6419",
            "fax_number": "617-482-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COVE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "TIBERI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-521-6708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCCHC 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 May 9, 2024; 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.