NPIMap

Organization Active NPI

Melrose Drug Center Inc

Doing business as Melrose Drug Center

  • Community/Retail Pharmacy
  • Melrose, MA
National Provider Identifier
1740387562
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2062 Issued in MA
Legal business name
MELROSE DRUG CENTER INC
Doing business as
Melrose Drug Center
Practice address
462 Main St
Melrose, MA 02176-3842
Phone
(781) 665-7400
Fax
(781) 665-7940
NPI assigned
Sep 20, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Donald Fox
Title
President
Phone
(781) 665-7400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2062 MA Primary

Addresses

Primary practice location

462 Main St
Melrose, MA 02176-3842

Mailing address

462 Main St
Melrose, MA 02176-3842
Phone (781) 665-7400

Other identifiers 2

IdentifierTypeStateIssuer
0497517MedicaidMA
2202062OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MELROSE DRUG CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

462 Main St
Melrose, MA 02176
Phone (781) 665-7400

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1740387562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763842",
            "telephone_number": "781-665-7400",
            "fax_number": "781-665-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763842",
            "telephone_number": "781-665-7400",
            "fax_number": "781-665-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-665-7400"
    },
    "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": "2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497517",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2202062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELROSE DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.