Belmont Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

DS89932 Issued in MA

Legal business name

BELMONT PHARMACY LLC

Practice address

246 Trapelo Rd
Belmont, MA 02478-1849

Phone

(617) 489-1616

Fax

(617) 489-1066

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Robert Pavlan

Title

Owner / Pic

Phone

(617) 489-1616

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Belmont Pharmacy Doing business as

Locations

Practitioners 1

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

• Lisa Li, PHARMD

  • Pharmacist
  • Belmont, MA
  • NPI 1932799905
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1609215946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781849",
            "telephone_number": "617-489-1616",
            "fax_number": "617-489-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781849",
            "telephone_number": "617-489-1616",
            "fax_number": "617-489-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "PAVLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "617-489-1616"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102210A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belmont Medical Supply Inc
• Belmont Oral and Maxillofacial Surgery LLC
• Belmont Orthodontics, PC
• Belmont Periodontics and Dental Implants
• Belmont Periodontics, P.C.
• Belmont Prosthodontics
• Belmont Smiles
• Benjamin Schubert Belok, DMD
• Francine M Benes, M.D.
• Angela Benirschke, WHNP-BC

• Community/Retail Pharmacy in Belmont, MA
• Providers in Belmont, 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 May 4, 2015; 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.