Organization Active NPI

Kimmy Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Dorchester, MA
National Provider Identifier
1538215231
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1888 Issued in MA
Legal business name
KIMMY PHARMACY
Practice address
1435 Dorchester Ave
Dorchester, MA 02122-2915
Phone
(617) 288-8199
Fax
(617) 288-8191
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Tuan Tran, RPHNPI 1992057368
Title
Owner
Phone
(617) 288-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1888 MA Primary
Community/Retail Pharmacy 3336C0003X 1888 MA

Addresses

Primary practice location

1435 Dorchester Ave
Dorchester, MA 02122-2915

Mailing address

1435 Dorchester Ave
Dorchester, MA 02122-2915
Phone (617) 288-8199

Other identifiers 1

IdentifierTypeStateIssuer
0437239MedicaidMA

National Provider Directory

National Provider Directory

Locations

1435 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-8199

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1538215231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222915",
            "telephone_number": "617-288-8199",
            "fax_number": "617-288-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222915",
            "telephone_number": "617-288-8199",
            "fax_number": "617-288-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMMY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-288-8199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "1888",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437239",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.