NPIMap

Organization Active NPI

Dana-Farber Cancer Institute, Inc.

  • Pharmacy
  • Methuen, MA
National Provider Identifier
1356973887
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DANA-FARBER CANCER INSTITUTE, INC.
Practice address
5 Branch Street
Floor 1, Room 1040
Methuen, MA 01844-1964
Phone
(978) 620-2075
Fax
(617) 751-7030
NPI assigned
Feb 12, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DANA-FARBER CANCER INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Mr. Jason James Poquette, RPH
Title
Director of Specialty Pharmacy
Phone
(508) 277-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

5 Branch Street
Floor 1, Room 1040
Methuen, MA 01844-1964

Mailing address

5 Branch Street
Floor 1, Room 1040
Methuen, MA 01844-1964
Phone (978) 620-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201023000147 MA DME Supplier - Pharmacy 9133038904 Practice locations: Methuen, MA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sidney Farber Cancer CT15 organizations share this tax ID, including this one
Part of
Sidney Farber Cancer CT

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1356973887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRANCH STREET",
            "address_2": "FLOOR 1, ROOM 1040",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441964",
            "telephone_number": "978-620-2075",
            "fax_number": "617-751-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRANCH STREET",
            "address_2": "FLOOR 1, ROOM 1040",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441964",
            "telephone_number": "978-620-2075",
            "fax_number": "617-751-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA-FARBER CANCER INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANA-FARBER CANCER INSTITUTE, INC.",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "POQUETTE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIALTY PHARMACY",
        "authorized_official_telephone_number": "508-277-3377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.