Active NPI
Blackwood Pharmacy Inc
Doing business as Blackwood Pharmacy
- Community/Retail Pharmacy
- Quincy, MA
National Provider Identifier
1497853428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3345
- Legal business name
- BLACKWOOD PHARMACY INC
- Doing business as
- Blackwood Pharmacy
- Practice address
- 181 Parkingway
Quincy, MA 02169-5011 - Phone
- (617) 471-3300
- Fax
- (617) 471-4425
- NPI assigned
- Sep 21, 2006
- Last updated
- Mar 26, 2010
- 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
- Bonnie Seely, RPH
- Title
- Owner
- Phone
- (617) 471-3300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3345 | MA | Primary |
Addresses
Primary practice location
181 Parkingway
Quincy, MA 02169-5011
Mailing address
181 Parkingway
Quincy, MA 02169-5011
Phone (617) 471-3300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2228321 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0406643 | Medicaid | MA | |
| 0435376 | Medicaid | MA |
Other names 1
- BLACKWOOD PHARMACY
National Provider Directory
National Provider DirectoryLocations
181 Parkingway
Quincy, MA 02169
Phone (617) 471-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269561600000",
"number": "1497853428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PARKINGWAY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695011",
"telephone_number": "617-471-3300",
"fax_number": "617-471-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PARKINGWAY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695011",
"telephone_number": "617-471-3300",
"fax_number": "617-471-4425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKWOOD PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2010-03-26",
"status": "A",
"authorized_official_last_name": "SEELY",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-471-3300",
"authorized_official_credential": "RPH"
},
"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": "3345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2228321",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406643",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435376",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BLACKWOOD PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.