Active NPI
Tufts Medicine Pharmacy LLC
- Community/Retail Pharmacy
- Boston, MA
National Provider Identifier
1356009336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.