Active NPI
North End Community Health Committee Inc
- Clinic Pharmacy
- Boston, MA
National Provider Identifier
1508305103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- MA0060183
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168140 | Other | PK |
Other names 1
- North End Waterfront Health Pharmacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0880640 | North End Waterfront Health | Provider-performed microscopy | Feb 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- New Health Charlestown Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Boston, MA
- NPI 1629095674
-
- Community/Retail Pharmacy
- Charlestown, MA
- NPI 1477272615
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
- Bridget Nortey, MA
- North East Behavioral Health
- North End Chiropractic LLC
- North End Community Health Center
- North End Community Health Center
- North End Community Health Committee Inc
- North End Dental Associates
- North South Physical Therapy, Inc.
- Crystal M North, M.D.
- Krysten Anne Marie Fritz North, M.D., M.P.H.
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.