Organization Active NPI

Tremont Drug Co Inc

Doing business as Tremont Pharmacy

  • Community/Retail Pharmacy
  • Peabody, MA
National Provider Identifier
1366452328
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS11720 Issued in MA
Legal business name
TREMONT DRUG CO INC
Doing business as
Tremont Pharmacy
Practice address
86 Tremont St
Peabody, MA 01960-4430
Phone
(978) 531-1853
Fax
(978) 538-7240
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Stephen Kalivas
Title
Owner and President
Phone
(987) 531-1853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS11720 MA Primary

Addresses

Primary practice location

86 Tremont St
Peabody, MA 01960-4430

Mailing address

86 Tremont St
Peabody, MA 01960-4430
Phone (978) 531-1853

Other identifiers 2

IdentifierTypeStateIssuer
0496243MedicaidMA
2211720OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • TREMONT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

86 Tremont St
Peabody, MA 01960
Phone (978) 531-1853

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1366452328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TREMONT ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604430",
            "telephone_number": "978-531-1853",
            "fax_number": "978-538-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TREMONT ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604430",
            "telephone_number": "978-531-1853",
            "fax_number": "978-538-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREMONT DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "KALIVAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "987-531-1853"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS11720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2211720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TREMONT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.