Medicine Store Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3372 Issued in MA

Legal business name

MEDICINE STORE INC.

Practice address

409 Lowell St
Wakefield, MA 01880-1962

Phone

(781) 246-3527

Fax

(781) 246-8542

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Carpinella, RPH

Title

Owner

Phone

(781) 246-3527

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Medicine Store Doing business as

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1598828980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LOWELL ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801962",
            "telephone_number": "781-246-3527",
            "fax_number": "781-246-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LOWELL ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801962",
            "telephone_number": "781-246-3527",
            "fax_number": "781-246-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "CARPINELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-246-3527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "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": "MA",
            "license": "3372",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MA",
            "license": "3372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407011",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Lisa McNamara
• Kevin J. McNeil, D.D.S.
• Jennifer C. McNeilly, LICSW
• Cheryl McNulty, M.ED. E.C.E.
• Medicine Store Inc.
• Maurio Medina
• Leigh Melanson-Adams, ELECTROLOGIST
• Andrew Mello
• Melrose Wakefield Behavioral Health Center, P.C.
• Melrose-Wakefield Psychiatric Associates PLLC

• Community/Retail Pharmacy in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.