Organization Active NPI

Galaxy Pharmacy LLC

  • Community/Retail Pharmacy
  • Boston, MA
National Provider Identifier
1740615574
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS89898 Issued in MA
Legal business name
GALAXY PHARMACY LLC
Practice address
534 Dorchester Ave Unit C-1
Boston, MA 02127-2762
Phone
(617) 268-0800
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Hai Tran
Title
Manager
Phone
(617) 268-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS89898 MA Primary

Addresses

Primary practice location

534 Dorchester Ave Unit C-1
Boston, MA 02127-2762

Mailing address

534 Dorchester Ave
Unit C-1
Boston, MA 02127-2762
Phone (617) 268-0800

Other identifiers 1

IdentifierTypeStateIssuer
2142194OtherPK

Other names 1

  • Galaxy Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1740615574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 DORCHESTER AVE",
            "address_2": "UNIT C-1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272762",
            "telephone_number": "617-268-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 DORCHESTER AVE UNIT C-1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272762",
            "telephone_number": "617-268-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-268-0800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galaxy Pharmacy",
            "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 May 29, 2014; 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.