Active NPI
Star Markets Company Inc
- Community/Retail Pharmacy
- Waltham, MA
National Provider Identifier
1447206974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- DS3385
- Legal business name
- STAR MARKETS COMPANY INC
- Doing business as
- Shaws Pharmacy #2569
- Practice address
- 1070 Lexington St
Waltham, MA 02452 - Phone
- (781) 899-3332
- Fax
- (781) 899-2189
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollment Manager
- Phone
- (208) 395-3932
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | DS3385 | MA | Primary |
Addresses
Primary practice location
1070 Lexington St
Waltham, MA 02452
Mailing address
250 E Parkcenter Blvd
Mailstop Sec2-B
Boise, ID 83706-3940
Phone (208) 395-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110000074E | Medicaid | MA | |
| 2039529 | Other | PK |
Other names 1
- Shaws Pharmacy #2569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033578 | MA | DME Supplier - Pharmacy | 6406871953 | Practice locations: Waltham, MA |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Star Markets Company Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Star Markets Company Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Boston, MA
- NPI 1386106953
-
- Community/Retail Pharmacy
- Marshfield, MA
- NPI 1548216070
-
- Community/Retail Pharmacy
- Harwich Port, MA
- NPI 1689621138
-
- Community/Retail Pharmacy
- Boise, ID
- NPI 1073604625
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1447206974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"address_2": "MAILSTOP SEC2-B",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940",
"telephone_number": "208-395-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 LEXINGTON ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02452",
"telephone_number": "781-899-3332",
"fax_number": "781-899-2189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR MARKETS COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "GIANNAKOPOULOS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "ENROLLMENT MANAGER",
"authorized_official_telephone_number": "208-395-3932"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "DS3385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110000074E",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2039529",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shaws Pharmacy #2569",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.