Organization Active NPI

Prescription Shoppe Inc

  • Community/Retail Pharmacy
  • Everett, MA
National Provider Identifier
1639225899
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS6654 Issued in MA
Legal business name
PRESCRIPTION SHOPPE INC
Practice address
378 Broadway
Everett, MA 02149-3426
Phone
(617) 389-7440
Fax
(617) 389-1004
NPI assigned
Jan 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Vashkar Karim
Title
Authorized Rep/Owner
Phone
(617) 240-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS6654 MA Primary

Addresses

Primary practice location

378 Broadway
Everett, MA 02149-3426

Mailing address

378 Broadway
Everett, MA 02149-3426
Phone (617) 389-7440

Other identifiers 2

IdentifierTypeStateIssuer
0407151MedicaidMA
2135268OtherPK

Other names 1

  • Prescription Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

378 Broadway
Everett, MA 02149
Phone (617) 389-7440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1639225899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493426",
            "telephone_number": "617-389-7440",
            "fax_number": "617-389-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493426",
            "telephone_number": "617-389-7440",
            "fax_number": "617-389-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "VASHKAR",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "617-240-0271"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS6654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407151",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.