Individual provider Active NPI

Brad Purga, RPH

  • Pharmacist
  • Milton, MA
National Provider Identifier
1427647973
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH236229 Issued in MA
Practice address
10 Bassett St
Milton, MA 02186-5507
Phone
(617) 698-2805
Fax
(617) 696-7275
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH236229 MA Primary

Addresses

Primary practice location

10 Bassett St
Milton, MA 02186-5507

Mailing address

10 Bassett St
Milton, MA 02186-5507
Phone (617) 698-2805

Other practice location 1

10 Bassett St
Milton, MA 02186-5507
Phone (617) 698-2805 ext. 8005

Other identifiers 1

IdentifierTypeStateIssuer
110087476CMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH236229MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1427647973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BASSETT ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865507",
            "telephone_number": "617-698-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BASSETT ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865507",
            "telephone_number": "617-698-2805",
            "fax_number": "617-696-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Bassett St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "MA",
            "postal_code": "021865507",
            "country_code": "US",
            "telephone_number": "617-698-2805 x8005",
            "fax_number": "617-696-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURGA",
        "first_name": "BRAD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH236229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087476C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.