Organization Active NPI

North End Community Health Committee Inc

  • Clinic Pharmacy
  • Boston, MA
National Provider Identifier
1508305103
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
MA0060183 Issued in MA
Legal business name
NORTH END COMMUNITY HEALTH COMMITTEE INC
Doing business as
North End Waterfront Health Pharmacy
Practice address
332 Hanover St
Boston, MA 02113-1901
Phone
(617) 643-8085
Fax
(617) 643-8711
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Karen Ryle
Title
Newh Pharmacy Director
Phone
(617) 724-9154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X MA0060183 MA Primary

Addresses

Primary practice location

332 Hanover St
Boston, MA 02113-1901

Mailing address

332 Hanover Street
Boston, MA 02113
Phone (617) 643-8085

Other identifiers 1

IdentifierTypeStateIssuer
2168140OtherPK

Other names 1

  • North End Waterfront Health Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0880640North End Waterfront Health332 Hanover Street, Boston, MA 02113Provider-performed microscopyFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
New Health Charlestown Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1508305103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HANOVER STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02113",
            "telephone_number": "617-643-8085",
            "fax_number": "617-643-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HANOVER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021131901",
            "telephone_number": "617-643-8085",
            "fax_number": "617-643-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH END COMMUNITY HEALTH COMMITTEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "RYLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "NEWH PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "617-724-9154"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MA",
            "license": "MA0060183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North End Waterfront Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North End Waterfront Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.