NPIMap

Organization Active NPI

Skenderian Apothecary

  • Community/Retail Pharmacy
  • Cambridge, MA
National Provider Identifier
1467462804
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS1058 Issued in MA
Legal business name
SKENDERIAN APOTHECARY
Doing business as
Skenderian Apothecary
Practice address
1613 Cambridge St
Cambridge, MA 02138-4315
Phone
(617) 354-5600
Fax
(617) 492-8135
NPI assigned
Aug 8, 2006
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Robert SkenderianNPI 1578656823
Title
Manager
Phone
(617) 354-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X DS1058 MA Primary

Addresses

Primary practice location

1613 Cambridge St
Cambridge, MA 02138-4315

Mailing address

1613 Cambridge St
Cambridge, MA 02138-4315
Phone (617) 354-5600

Other identifiers 2

IdentifierTypeStateIssuer
2038476OtherPK
0496545MedicaidMA

Other names 1

  • SKENDERIAN APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Locations

1613 Cambridge St
Cambridge, MA 02138
Phone (617) 354-5600

Practitioners & affiliated clinicians

Practitioners 5

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1467462804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384315",
            "telephone_number": "617-354-5600",
            "fax_number": "617-492-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384315",
            "telephone_number": "617-354-5600",
            "fax_number": "617-492-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKENDERIAN APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "SKENDERIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-354-5600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038476",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496545",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKENDERIAN APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.