Beth Israel Lahey Health Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Westwood, MA
NPI 1346853728 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1346853728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
- Practice address
- 80 Wilson Way
Suite a
Westwood, MA 02090 - Phone
- (781) 352-6500
- Fax
- (781) 352-6680
- NPI assigned
- Aug 26, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Authorized official
- Name
- Dr. Josenor De Jesus
- Title
- SVP, Chief Pharmacy Officer
- Phone
- (781) 352-6500
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 8
Member organizations 1
Practitioners 4
-
Nicholas Lee, PHARMD
-
Blinere Bytyqi, PHARMD
-
John Kim, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220207000219 | MA | Part B Supplier - Pharmacy | 5597013409 |
2 other NPIs on this enrollment Practice locations: Burlington, MA; Dorchester, MA; Westwood, MA |
| O20230109002015 | MA | DME Supplier - Pharmacy | 5597013409 | Practice locations: Westwood, MA |
National Provider Directory
- Tax ID family
- Bilh Pharmacy Direct
- Part of
- Bilh Pharmacy Direct
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
80 Wilson Way
Suite a
Westwood, MA 02090
Mailing address
80 Wilson Way
Suite a
Westwood, MA 02090
Phone (781) 352-6500
Other names
- BILH Pharmacy Direct
Other providers in Westwood, MA
- Esther C Bertrand
- Beth Israel Lahey Health Pharmacy, Inc
- Beth Israel Lahey Health Pharmacy, Inc
- Beth Israel Lahey Health Pharmacy, Inc
- Beth Israel Lahey Health Pharmacy, Inc.
- Beth Israel Lahey Health Pharmacy, Inc.
- Lynn H Bichajian
- Holly Bidlack
- Clifford Bierman
- Bio-Medical Applications of Massachusetts, Inc.
All providers in Westwood, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.