Organization Active NPI

Luminara Compounding

  • Compounding Pharmacy
  • Waltham, MA
National Provider Identifier
1386597789
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
LUMINARA COMPOUNDING
Practice address
21 Green St
Waltham, MA 02451-1646
Phone
(781) 226-6922
NPI assigned
Feb 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Jason Trudel
Title
Billing
Phone
(781) 966-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

21 Green St
Waltham, MA 02451-1646

Mailing address

21 Green St
Waltham, MA 02451-1646
Phone (781) 226-6922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1386597789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511646",
            "telephone_number": "781-226-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511646",
            "telephone_number": "781-226-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARA COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "TRUDEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "781-966-2700"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.