Active NPI
Prescription Shoppe Inc
- Community/Retail Pharmacy
- Everett, MA
National Provider Identifier
1639225899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- DS6654
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0407151 | Medicaid | MA | |
| 2135268 | Other | PK |
Other names 1
- Prescription Shoppe
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Everett, MA
- NPI 1760886691
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.