NPIMap

Organization Active NPI

Sutherland Pharmacy LLC

  • Pharmacist
  • Brighton, MA
National Provider Identifier
1659465326
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4662 Issued in MA
Legal business name
SUTHERLAND PHARMACY LLC
Practice address
1690 Commonwealth Ave.
Brighton, MA 02135-5602
Phone
(617) 232-3513
Fax
(617) 232-1569
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Mr. John D Leary Jr., RPHNPI 1417983313
Title
Owner/Manager
Phone
(617) 232-3513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 4662 MA Primary

Addresses

Primary practice location

1690 Commonwealth Ave.
Brighton, MA 02135-5602

Mailing address

1690 Commonwealth Ave.
Brighton, MA 02135-5602
Phone (617) 232-3513

Other identifiers 2

IdentifierTypeStateIssuer
0400076MedicaidMA
2204662OtherMANABP NUMBER

National Provider Directory

National Provider Directory

Locations

1690 Commonwealth Ave
Brighton, MA 02135
Phone (617) 232-3513

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1659465326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 COMMONWEALTH AVE.",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355602",
            "telephone_number": "617-232-3513",
            "fax_number": "617-232-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 COMMONWEALTH AVE.",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355602",
            "telephone_number": "617-232-3513",
            "fax_number": "617-232-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTHERLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "617-232-3513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "4662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400076",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "2204662",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.