Active NPI
Dostert and Dove,LLC
- Long Term Care Pharmacy
- Lynn, MA
National Provider Identifier
1609403203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DOSTERT AND DOVE,LLC
- Practice address
- 152 Lynnway Ste 1C
Lynn, MA 01902-3420 - Phone
- (781) 460-2000
- Fax
- (651) 855-5295
- NPI assigned
- Mar 24, 2020
- 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
- Evan Daniel Dostert
- Title
- Owner
- Phone
- (781) 460-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
152 Lynnway Ste 1C
Lynn, MA 01902-3420
Mailing address
152 Lynnway Ste 1C
Lynn, MA 01902-3420
Phone (781) 460-2000
Other names 1
- EASTERN PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Dostert and Dovellc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Lynn, MA
- NPI 1285103804
-
- Nursing Care Agency
- Lynn, MA
- NPI 1497291744
Locations
161 Eastern Ave
Lynn, MA 01902
Phone (781) 502-8558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1609403203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 LYNNWAY STE 1C",
"city": "LYNN",
"state": "MA",
"postal_code": "019023420",
"telephone_number": "781-460-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 LYNNWAY STE 1C",
"city": "LYNN",
"state": "MA",
"postal_code": "019023420",
"telephone_number": "781-460-2000",
"fax_number": "651-855-5295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOSTERT AND DOVE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-24",
"last_updated": "2024-05-14",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "DOSTERT",
"authorized_official_first_name": "EVAN",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-460-2000"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EASTERN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EASTERN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.