Active NPI
Tufts Medicine Pharmacy LLC
- Home Infusion Agency
- Medford, MA
National Provider Identifier
1508524075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- TUFTS MEDICINE PHARMACY LLC
- Practice address
- 170 Governors Ave
Medford, MA 02155-1643 - Phone
- (978) 942-2156
- NPI assigned
- Dec 2, 2021
- 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
- Erica Diamantides
- Title
- VP Ambulatory Pharmacy
- Phone
- (617) 636-5787
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
170 Governors Ave
Medford, MA 02155-1643
Mailing address
800 District Ave Ste 520
Burlington, MA 01803-5057
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tufts Medicine Pharmacy LLC | External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
170 Governors Ave
Ste 100
Medford, MA 02155
Phone (617) 277-1205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1508524075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 DISTRICT AVE STE 520",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018035057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 GOVERNORS AVE",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551643",
"telephone_number": "978-942-2156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUFTS MEDICINE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-02",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A",
"authorized_official_last_name": "DIAMANTIDES",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "VP AMBULATORY PHARMACY",
"authorized_official_telephone_number": "617-636-5787"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.