Boston Medical Center Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BOSTON MEDICAL CENTER CORPORATION

Doing business as

BMC Pharmacy at Manet

Practice address

110 W Squantum St
North Quincy, MA 02171-2122

Phone

(617) 638-8140

NPI assigned

Jan 6, 2020

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bhavesh Shah

Title

VP & Chief Pharmacy Officer

Phone

(617) 638-6789

Specialties & licenses 1

Addresses

Other names 1

• BMC Pharmacy at Manet Doing business as

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1427697572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE BSMT BCN7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-638-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_title_or_position": "VP & CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "617-638-6789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMC Pharmacy at Manet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa E. Abdow, LICSW
• Charles R Bell, M.D.
• Vandana Bijoor, M.D
• Cheryl Ann Bliss, NP
• Vikram RJ Butani
• Kiley Callahan, FNP-C
• Qiao Angela Chu, BHSC., M.D.
• Nancy Chung, MSN, FNP-BC
• Mary Ann Dakkak, M.D.

• Community/Retail Pharmacy in North Quincy, MA
• Providers in North Quincy, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.