Island Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1056 Issued in MA

Legal business name

ISLAND DRUGS INC.

Practice address

47 Main St
Nantucket, MA 02554-3542

Phone

(508) 228-0020

Fax

(508) 325-7859

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Bertolami, RPH

Title

Owner

Phone

(508) 228-0020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Congdon's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669533360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025543542",
            "telephone_number": "508-228-0020",
            "fax_number": "508-325-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025543542",
            "telephone_number": "508-228-0020",
            "fax_number": "508-325-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTOLAMI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-228-0020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431958",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Congdon's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew W Hunt, ATC, LAT
• Margaret Ann Hunter, M.S.W., L.I.C.S.W.
• Celeste Marie Ikolodo
• Island Chiropractic Inc
• Island Counseling Center, P.C.
• Carol Izen, LICSW
• Jessica N Torre, DDS, PC
• Wendell Clyde Jones, MD
• K Werner Counseling LLC
• Kaitlyn Erisman Physical Therapy LLC

• Community/Retail Pharmacy in Nantucket, MA
• Providers in Nantucket, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.