Elysian Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELYSIAN ENTERPRISES INC

Doing business as

Gary Drug Co.

Practice address

59 Charles St
Boston, MA 02114-4605

Phone

(617) 227-0023

Fax

(617) 227-2879

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seth Freedman, RPHNPI 1093935124

Title

Director

Phone

(617) 227-0023

Specialties & licenses 1

Addresses

Other names 1

• Gary Drug Co. Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth Freedman, RPH

  • Pharmacist
  • Chestnut Hill, MA
  • NPI 1093935124
  NPD Authorized official
• Daniel Greenfield, RPH

  • Pharmacist
  • Boston, MA
  • NPI 1255920666
  NPD

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1336805761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144605",
            "telephone_number": "617-227-0023",
            "fax_number": "617-227-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144605",
            "telephone_number": "617-227-0023",
            "fax_number": "617-227-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-227-0023",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Layla Eltejaye
• Elucid Bioimaging Inc
• Wendy F Elverson, RD
• Francesca Ely-Spence
• Sivan Mira Elyashiv, MD
• Mohamed Hazem Elzarka
• Yahya A.M. Elzarug, B.D.S
• Eman Elzeftawy, DO
• Tariq Emaish, MD
• Hamid Emamekhoo, M.D.

• Community/Retail Pharmacy in Boston, MA
• Providers in Boston, 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 Nov 10, 2021; 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.