Organization Active NPI

Tufts Medicine Pharmacy LLC

  • Community/Retail Pharmacy
  • Boston, MA
National Provider Identifier
1356009336
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TUFTS MEDICINE PHARMACY LLC
Practice address
800 Washington St.
Boston, MA 02111-1552
Phone
(866) 918-6848
Fax
(617) 636-8090
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Keith Thomasset
Title
SVP, Chief Pharmacy Officer
Phone
(978) 942-2160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

800 Washington St.
Boston, MA 02111-1552

Mailing address

800 District Ave
Ste 520
Burlington, MA 01803-5057

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221202000455 MA Part B Supplier - Pharmacy 7618345299 Practice locations: Boston, MA
O20230707000013 MA DME Supplier - Pharmacy 7618345299 Practice locations: Boston, MA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1356009336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DISTRICT AVE",
            "address_2": "STE 520",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "866-918-6848",
            "fax_number": "617-636-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS MEDICINE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "THOMASSET",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "SVP, CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "978-942-2160"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 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.