Seaside Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SEASIDE PHARMACY INC.

Practice address

169 Shirley Ave
Revere, MA 02151-3256

Phone

(781) 284-6525

Fax

(781) 284-6530

NPI assigned

Jan 16, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tu-Anh Thi Vo, PHARMD.NPI 1134403132

Title

Owner/President

Phone

(781) 284-6525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Seaside Pharmacy 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.

• Seaside Pharmacy Inc.

  • Long Term Care Pharmacy
  • Revere, MA
  • NPI 1891557633
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tu Anh T Vo, PHARM D.

  • Pharmacist
  • Rockland, MA
  • NPI 1134403132
  NPD Authorized official

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1760804397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513256",
            "telephone_number": "781-284-6525",
            "fax_number": "781-284-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513256",
            "telephone_number": "781-284-6525",
            "fax_number": "781-284-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TU-ANH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-284-6525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Sasso, LMHC
• Aly Savane Sr.
• Elliot Joseph Schaeffer, D.O.
• Katherine H Schiavoni, MD
• Giuseppina Sclafani, PHARMD
• Seaside Pharmacy Inc.
• Kathleen Ann Seely
• Margaret Selesky
• Nicole Sendner
• Marisa Arline Shea, MD

• All providers in Revere, MA
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.