NPIMap

Organization Active NPI

Star Markets Company Inc

Doing business as Star Market Pharmacy #3696

  • Community/Retail Pharmacy
  • Boston, MA
National Provider Identifier
1386106953
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STAR MARKETS COMPANY INC
Doing business as
Star Market Pharmacy #3696
Practice address
90 Causeway St
Boston, MA 02144
Phone
(857) 409-3410
Fax
(857) 409-3420
NPI assigned
Apr 3, 2019
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Kathy Giannakopoulos
Title
Manager, Enrollments
Phone
(208) 395-3954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

90 Causeway St
Boston, MA 02144

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Other names 1

  • STAR MARKET PHARMACY #3696 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015002533 MA DME Supplier - PharmacyDME Supplier - Grocery Store 6406871953 Practice locations: Boston, 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
Star Markets Company Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

90 Causeway St
Boston, MA 02114
Phone (857) 409-3410

795 Providence Hwy
Dedham, MA 02026
Phone (781) 251-0551

795 Providence Hwy
#7426
Dedham, MA 02026
Phone (781) 251-0551

18 Sisson Rd
Harwich Port, MA 02646
Phone (508) 432-0895

1070 Lexington St
Waltham, MA 02452
Phone (781) 891-0615

1070 Lexington St
#7569
Waltham, MA 02452
Phone (781) 899-3332

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1386106953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CAUSEWAY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02144",
            "telephone_number": "857-409-3410",
            "fax_number": "857-409-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MARKETS COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER, ENROLLMENTS",
        "authorized_official_telephone_number": "208-395-3954"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR MARKET PHARMACY #3696",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2024; 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.