Organization Active NPI

Blackwood Pharmacy Inc

Doing business as Blackwood Pharmacy

  • Community/Retail Pharmacy
  • Quincy, MA
National Provider Identifier
1497853428
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3345 Issued in MA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2228321OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0406643MedicaidMA
0435376MedicaidMA

Other names 1

  • BLACKWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.