NPIMap

Organization Active NPI

Blue Hill Pharmacy LTC

  • Long Term Care Pharmacy
  • Dorchester, MA
National Provider Identifier
1689361016
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BLUE HILL PHARMACY LTC
Doing business as
Blue Hill Pharmacy LTC
Practice address
320 Blue Hill Ave
Dorchester, MA 02121-1951
Phone
(617) 654-7546
Fax
(617) 652-7561
NPI assigned
Apr 18, 2023
Organization subpart
Yes
Parent organization
NKANYIMUO REAL ESTATEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Ms. Victoria N Okeke, RPHNPI 1922432103
Title
Owner/ Pharmacist-in-Charge
Phone
(617) 652-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

320 Blue Hill Ave
Dorchester, MA 02121-1951

Mailing address

320 Blue Hill Ave
Dorchester, MA 02121-1951
Phone (617) 654-7546

Other identifiers 1

IdentifierTypeStateIssuer
110102251AMedicaidMA

Other names 1

  • BLUE HILL PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Hill Pharmacy LLC3 organizations share this tax ID, including this one
Part of
Blue Hill Pharmacy LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1689361016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211951",
            "telephone_number": "617-654-7546",
            "fax_number": "617-652-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211951",
            "telephone_number": "617-654-7546",
            "fax_number": "617-652-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL PHARMACY LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NKANYIMUO REAL ESTATE",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "617-652-7546",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102251A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE HILL PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.