Teamsters Union 25 Health Services and Insurance Plan

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2493 Issued in MA

Legal business name

TEAMSTERS UNION 25 HEALTH SERVICES AND INSURANCE PLAN

Practice address

552 Main St
Charlestown, MA 02129-1109

Phone

(800) 235-0760

Fax

(617) 241-5025

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Anthony Luciano, R.PH.

Title

Pharmacy Manager

Phone

(800) 235-0760

Specialties & licenses 1

Addresses

Other names 1

• TeamstersCare Pharmacy Doing business as

Tax ID family

Teamsters Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teamsters Union 25 Health Services and Insurance Plan

  • Point of Service
  • Stoughton, MA
  • NPI 1326174350
  NPD tax ID

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629104633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291109",
            "telephone_number": "800-235-0760",
            "fax_number": "617-241-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291109",
            "telephone_number": "800-235-0760",
            "fax_number": "617-241-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMSTERS UNION 25 HEALTH SERVICES AND INSURANCE PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "800-235-0760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": "2493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TeamstersCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Elizabeth Romero Struck, MD
• Angela Clare Stupinski, LICSW
• Emma Sullivan
• Julia Sullivan
• Lydecke B Sweet, MD
• Andrew Teer, PHD
• Kristin Ruth Ten Bensel, R.N.
• Tender Loving Care Health Care Services of New England LLC
• Michele Terzian, RN
• The Spaulding Rehabilitation Hospital Corporation

• Point of Service in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.