Organization Active NPI

HRD Corp, Inc

Doing business as Prime Pharmacy

  • Community/Retail Pharmacy
  • Dorchester, MA
National Provider Identifier
1689957722
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89781 Issued in MA
Legal business name
HRD CORP, INC
Doing business as
Prime Pharmacy
Practice address
201 Humboldt Ave
Dorchester, MA 02120
Phone
(617) 427-2222
Fax
(617) 427-2205
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Paul Garbarini
Title
Attorney
Phone
(413) 727-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89781 MA Primary

Addresses

Primary practice location

201 Humboldt Ave
Dorchester, MA 02120

Mailing address

201 Humboldt Ave
Dorchester, MA 02120
Phone (617) 427-2222

Other names 1

  • Prime Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HRC Corp Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1689957722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HUMBOLDT AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-427-2222",
            "fax_number": "617-427-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HUMBOLDT AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-427-2222",
            "fax_number": "617-427-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRD CORP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "GARBARINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "413-727-8191"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Pharmacy",
            "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 Sep 26, 2011; 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.