Organization Active NPI

Whittier Health Pharmacy Inc

Doing business as Whittier Health Pharmacy

  • Community/Retail Pharmacy
  • Roxbury Crossing, MA
National Provider Identifier
1285717264
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WHITTIER HEALTH PHARMACY INC
Doing business as
Whittier Health Pharmacy
Practice address
1012 Tremont St.
Roxbury Crossing, MA 02120-2298
Phone
(617) 541-6846
Fax
(617) 536-1891
NPI assigned
Oct 23, 2006
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Lauretta Okoye
Title
Officer
Phone
(617) 541-6846

Specialties & licenses 3

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

Addresses

Primary practice location

1012 Tremont St.
Roxbury Crossing, MA 02120-2298

Mailing address

1012 Tremont St
Roxbury Crossing, MA 02120-2298
Phone (617) 541-6846

Other identifiers 1

IdentifierTypeStateIssuer
2036293OtherPK

Other names 1

  • Whittier Health Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930044915 MA DME Supplier - Pharmacy 9335346238 Practice locations: Roxbury Crossing, MA
O20121031000585 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9335346238 Practice locations: Roxbury Crossing, MA

National Provider Directory

National Provider Directory
Tax ID family
Whittier Health Pharmacy in3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1012 Tremont St
Roxbury Crossing, MA 02120
Phone (617) 536-1890

1290 Tremont St
Roxbury Crossing, MA 02120
Phone (617) 427-1000

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1285717264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 TREMONT ST",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202298",
            "telephone_number": "617-541-6846",
            "fax_number": "617-536-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 TREMONT ST.",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202298",
            "telephone_number": "617-541-6846",
            "fax_number": "617-536-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER HEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "LAURETTA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "617-541-6846"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2036293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittier Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxbury Crossing, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.