Active NPI
J&G Einsidler Corporation
- Community/Retail Pharmacy
- Boston, MA
National Provider Identifier
1710047014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2808
- Legal business name
- J&G EINSIDLER CORPORATION
- Doing business as
- 610 Tremont Drug
- Practice address
- 610 Tremont St
Boston, MA 02118-1600 - Phone
- (617) 262-3389
- Fax
- (617) 262-3913
- NPI assigned
- Dec 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Einsidler, RPH
- Title
- Owner
- Phone
- (617) 262-3389
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2808 | MA | Primary |
Addresses
Primary practice location
610 Tremont St
Boston, MA 02118-1600
Mailing address
610 Tremont St
Boston, MA 02118-1600
Phone (617) 262-3389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446769 | Medicaid | MA |
Other names 1
- 610 Tremont Drug
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Roxbury, MA
- NPI 1376190249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303257600000",
"number": "1710047014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181600",
"telephone_number": "617-262-3389",
"fax_number": "617-262-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181600",
"telephone_number": "617-262-3389",
"fax_number": "617-262-3913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J&G EINSIDLER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-10",
"last_updated": "2011-04-20",
"status": "A",
"authorized_official_last_name": "EINSIDLER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-262-3389",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "2808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446769",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "610 Tremont Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.