MBS Pharma Care, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

89968 Issued in MA

Legal business name

MBS PHARMA CARE, INC.

Practice address

1035B Providence Rd
Whitinsville, MA 01588-2121

Phone

(508) 372-0627

Fax

(508) 372-1607

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Michael Botros

Title

Owner

Phone

(508) 372-0627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MBS Pharma Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

MBS Pharma Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MBS Pharma Care, Inc.

  • Pharmacist
  • Whitinsville, MA
  • NPI 1669338612
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• MBS Pharma Care, Inc.

  • Pharmacist
  • Whitinsville, MA
  • NPI 1669338612
  NPPES parent name

Practitioners 2

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

• Injy Botros

  • Pharmacist
  • Medway, MA
  • NPI 1609158286
  NPD
• Bakheet Shenoda

  • Pharmacist
  • Whitinsville, MA
  • NPI 1659853497
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1508249137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035B PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882121",
            "telephone_number": "508-372-0627",
            "fax_number": "508-372-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035B PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882121",
            "telephone_number": "508-372-0627",
            "fax_number": "508-372-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS PHARMA CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-372-0627"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "89968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBS Pharma Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Masotta, LMHC
• Tia Mastrogianis
• Megan Mawn
• Cheryl Ann Maxim
• Craig E. Maxim, LMHC
• MBS Pharma Care, Inc.
• Hermorne Theresa McConner, 08/30/08
• Barbara Lee McCumber, PT
• Cathleen Diann McDonald
• Errion Leah McGrath, BCBA

• Long Term Care Pharmacy in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• Long Term Care Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.