Organization Active NPI

Chelsea Pharm Inc

Doing business as Margolis Pharmacy

  • Community/Retail Pharmacy
  • Chelsea, MA
National Provider Identifier
1730489493
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89744 Issued in MA
Legal business name
CHELSEA PHARM INC
Doing business as
Margolis Pharmacy
Practice address
447 Broadway
Chelsea, MA 02150-2809
Phone
(617) 884-3524
Fax
(617) 889-3395
NPI assigned
Oct 28, 2010
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Oleg Urim
Title
Manager
Phone
(781) 405-3228

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS89744 MA Primary

Addresses

Primary practice location

447 Broadway
Chelsea, MA 02150-2809

Mailing address

447 Broadway
Chelsea, MA 02150-2809
Phone (617) 884-3524

Other identifiers 1

IdentifierTypeStateIssuer
2243373OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Margolis Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000137 MA DME Supplier - Pharmacy 3476737222 Practice locations: Chelsea, MA

National Provider Directory

National Provider Directory
Tax ID family
Chelsea Pharm 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.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1730489493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502809",
            "telephone_number": "617-884-3524",
            "fax_number": "617-889-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502809",
            "telephone_number": "617-884-3524",
            "fax_number": "617-889-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "URIM",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-405-3228"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2243373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margolis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.