NPIMap

Dana-Farber Cancer Institute, Inc.

Organization Active NPI Pharmacy · Methuen, MA

NPI 1356973887 · NPPES record last updated Sep 10, 2020

Key facts

NPI
1356973887
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 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
Organization subpart
Yes
Parent organization (as reported)
DANA-FARBER CANCER INSTITUTE, INC.

Authorized official

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 14

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

Practitioners 671

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 671

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

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

National Provider Directory

Tax ID family
Sidney Farber Cancer Ce (15 organizations share this tax ID)
Part of
Sidney Farber Cancer Ce

Locations

5 Branch St
Fl 1
Methuen, MA 01844
Phone (978) 620-2075

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Yes

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

Other providers in Methuen, MA

All providers in Methuen, MA · Pharmacy in Massachusetts

Sources for this page

Verify at the official NPI Registry.