Organization Active NPI

City Fresh Foods, Inc.

  • Meals Provider
  • Roxbury, MA
National Provider Identifier
1649757618
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
CITY FRESH FOODS, INC.
Practice address
77 Shirley St
Roxbury, MA 02119-3035
Phone
(617) 606-7123
Fax
(617) 606-7126
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Mr. Donell Bernard
Title
Finance Manager
Phone
(617) 606-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X MA Primary

Addresses

Primary practice location

77 Shirley St
Roxbury, MA 02119-3035

Mailing address

77 Shirley St
Roxbury, MA 02119-3035
Phone (617) 606-7123

National Provider Directory

National Provider Directory

Locations

77 Shirley St
Roxbury, MA 02119
Phone (617) 606-7123

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1649757618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SHIRLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193035",
            "telephone_number": "617-606-7123",
            "fax_number": "617-606-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SHIRLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193035",
            "telephone_number": "617-606-7123",
            "fax_number": "617-606-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY FRESH FOODS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "DONELL",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "617-606-7123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2018; 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.