Theatre Pharmacy Company Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THEATRE PHARMACY COMPANY INC.

Doing business as

Theatre Pharmacy

Practice address

1784 Massachusetts Ave
Lexington, MA 02420-5391

Phone

(781) 862-4480

Fax

(781) 860-9567

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Saad Dinno, RPH

Title

President/Pharmacist

Phone

(781) 862-4480

Specialties & licenses 1

Addresses

Other names 1

• THEATRE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Camelio, R.PH

  • Pharmacist
  • Lexington, MA
  • NPI 1639768427
  NPD
• Taline Kebadjian, RPH

  • Pharmacist
  • Lexington, MA
  • NPI 1700475266
  NPD
• Christian Nelson, PHARMD

  • Pharmacist
  • Lexington, MA
  • NPI 1134011455
  NPD
• Eric Schrauwen, PHARMD

  • Pharmacist
  • Lexington, MA
  • NPI 1568050151
  NPD
• Daniel Dinno, PHARMD

  • Pharmacist
  • Acton, MA
  • NPI 1841901519
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1740804525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205391",
            "telephone_number": "781-862-4480",
            "fax_number": "781-860-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205391",
            "telephone_number": "781-862-4480",
            "fax_number": "781-860-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEATRE PHARMACY COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "DINNO",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "781-862-4480",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THEATRE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Thayer
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• The Learning Corp
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• Marielys Then
• Think-Diff Institute
• Robyn Pauline Thom, M.D.
• Bethany Wills Thomas, ANP

• Community/Retail Pharmacy in Lexington, MA
• Providers in Lexington, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.