Organization Active NPI

Nkanyimuo Real Estate LLC

Doing business as Blue Hill Pharmacy

  • Community/Retail Pharmacy
  • Dorchester, MA
National Provider Identifier
1578240552
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NKANYIMUO REAL ESTATE LLC
Doing business as
Blue Hill Pharmacy
Practice address
Blue Hill Pharmacy
320 Blue Hill Ave.
Dorchester, MA 02121-1951
Phone
(161) 765-2754
Fax
(617) 652-7561
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Ms. Victoria Nkiru Okeke, RPHNPI 1922432103
Title
Owner
Phone
(617) 652-7546

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

Blue Hill Pharmacy
320 Blue Hill Ave.
Dorchester, MA 02121-1951

Mailing address

Blue Hill Pharmacy
320 Blue Hill Ave.
Dorchester, MA 02121-1951
Phone (161) 765-2754

Other names 1

  • Blue Hill Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1578240552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLUE HILL PHARMACY",
            "address_2": "320 BLUE HILL AVE.",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211951",
            "telephone_number": "161-765-2754",
            "fax_number": "617-652-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUE HILL PHARMACY",
            "address_2": "320 BLUE HILL AVE.",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211951",
            "telephone_number": "161-765-2754",
            "fax_number": "617-652-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKANYIMUO REAL ESTATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "NKIRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-652-7546",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 2023; 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.