Brockton Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BROCKTON PHARMACY, LLC

Practice address

90 Main St Unit a
Brockton, MA 02301-4011

Phone

(774) 517-5528

Fax

(774) 517-5568

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Frederick N Alamba, PHARMD, MBA, RPHNPI 1437669686

Title

Pharmacist/Owner

Phone

(774) 517-5528

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Brockton Pharmacy Doing business as
• Bright Health Pharmacy Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Nnaemeka Alamba, PHARMD, MBA, RPH

  • Pharmacist
  • Brockton, MA
  • NPI 1437669686
  NPD Authorized official
• Kalu Kalu, PHARMD

  • Pharmacist
  • Brockton, MA
  • NPI 1174242010
  NPD (past)
• John A Marshall, D.C.

  • Chiropractor
  • Fall River, MA
  • NPI 1184673956
  NPD (past)
• Marci L Seronick, D.C.

  • Chiropractor
  • Brockton, MA
  • NPI 1013960152
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1295218964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST UNIT A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014011",
            "telephone_number": "774-517-5528",
            "fax_number": "774-517-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST UNIT A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014011",
            "telephone_number": "774-517-5528",
            "fax_number": "774-517-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "ALAMBA",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "774-517-5528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, MBA, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110148058A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Health Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Brockton Operator LLC
• Brockton Oral & Maxillofacial Surgery Inc
• Brockton Pediatrics
• Brockton Physical Therapy & Rehabilitation, Inc.
• Brockton Radiation Oncology
• Brockton Radiological Associates, Inc.
• Brockton Recovery Medical Associates PC
• Brockton Rehabilitation and Nursing Center LLC

• Community/Retail Pharmacy in Brockton, MA
• Providers in Brockton, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.