NPIMap

Organization Active NPI

Cambridge Public Health Commission

  • Community/Retail Pharmacy
  • Malden, MA
National Provider Identifier
1427680743
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAMBRIDGE PUBLIC HEALTH COMMISSION
Practice address
350 Main Street Suite 640
Malden, MA 02148
Phone
(781) 338-0670
Fax
(781) 338-0690
NPI assigned
Feb 5, 2020
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Maria KossilosNPI 1982988705
Title
Associate Chief Pharmacy Officer
Phone
(617) 806-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

350 Main Street Suite 640
Malden, MA 02148

Mailing address

350 Main Street Suite 640
Malden, MA 02148
Phone (781) 338-0670

Other names 1

  • Cambridge Health Alliance Specialty Pharmacy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200914000845 MA Part B Supplier - Pharmacy 8921910894 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Revere, MA; Cambridge, MA; Medford, MA; Malden, MA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Cambridge Hospital44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

1035 Cambridge St
Ste 23
Cambridge, MA 02141
Phone (617) 806-8542

Practitioners & affiliated clinicians

Practitioners 1

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": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1427680743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN STREET SUITE 640",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-338-0670",
            "fax_number": "781-338-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN STREET SUITE 640",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-338-0670",
            "fax_number": "781-338-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PUBLIC HEALTH COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "KOSSILOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ASSOCIATE CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "617-806-8505"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Health Alliance Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cambridge Health Alliance Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.