NPIMap

Organization Active NPI

Sullivan's Health Care, Inc

  • Long Term Care Pharmacy
  • Roslindale, MA
National Provider Identifier
1487759577
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3335 Issued in MA
Legal business name
SULLIVAN'S HEALTH CARE, INC
Practice address
30 Belgrade Ave
Roslindale, MA 02131-3006
Phone
(617) 327-0210
Fax
(617) 323-8776
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Mr. Sam Methratta, PHARMDNPI 1053052001
Title
Pharmacy Director
Phone
(617) 363-1726

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3335 MA
Community/Retail Pharmacy 3336C0003X 3335 MA
Compounding Pharmacy 3336C0004X 3335 MA
Home Infusion Therapy Pharmacy 3336H0001X 3335 MA
Long Term Care Pharmacy 3336L0003X 3335 MA Primary

Addresses

Primary practice location

30 Belgrade Ave
Roslindale, MA 02131-3006

Mailing address

30 Belgrade Ave
Roslindale, MA 02131-3006
Phone (617) 327-0210

Other identifiers 2

IdentifierTypeStateIssuer
0406538MedicaidMA
2240606OtherMANCPDP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1487759577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313006",
            "telephone_number": "617-327-0210",
            "fax_number": "617-323-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313006",
            "telephone_number": "617-327-0210",
            "fax_number": "617-323-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN'S HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "METHRATTA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "617-363-1726",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "3335",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3335",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MA",
            "license": "3335",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MA",
            "license": "3335",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "3335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406538",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2240606",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.