Organization Active NPI

Egleston Square Pharmacy,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Roxbury, MA
National Provider Identifier
1629138920
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EGLESTON SQUARE PHARMACY,INC.
Doing business as
Egleston Square Pharmacy
Practice address
3090 Washington St
Roxbury, MA 02119-3115
Phone
(617) 442-6070
Fax
(617) 442-3424
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Aloysius Onujiogus, RPH
Title
Owner
Phone
(617) 442-6070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MA Primary
Community/Retail Pharmacy 3336C0003X 3366 MA

Addresses

Primary practice location

3090 Washington St
Roxbury, MA 02119-3115

Mailing address

3090 Washington St
Roxbury, MA 02119-3115
Phone (617) 442-6070

Other identifiers 1

IdentifierTypeStateIssuer
0406911MedicaidMA

Other names 1

  • Egleston Square Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3090 Washington St
Roxbury, MA 02119
Phone (617) 442-6070

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629138920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193115",
            "telephone_number": "617-442-6070",
            "fax_number": "617-442-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193115",
            "telephone_number": "617-442-6070",
            "fax_number": "617-442-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGLESTON SQUARE PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ONUJIOGUS",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-442-6070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406911",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Egleston Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.