Organization Active NPI

Crown Colony Pharmacy Inc

  • Community/Retail Pharmacy
  • Quincy, MA
National Provider Identifier
1760984017
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS90247 Issued in MA
Legal business name
CROWN COLONY PHARMACY INC
Practice address
500 Congress St Ste 1B
Quincy, MA 02169-0917
Phone
(617) 472-9000
Fax
(617) 472-8700
NPI assigned
Mar 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Hung Doan
Title
Pharmacy Owner
Phone
(617) 472-9000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X DS90247 MA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

500 Congress St Ste 1B
Quincy, MA 02169-0917

Mailing address

500 Congress St Ste 1B
Quincy, MA 02169-0917
Phone (617) 472-9000

Other identifiers 1

IdentifierTypeStateIssuer
2176293OtherPK

Other names 1

  • Crown Colony Pharmacy Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1760984017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST STE 1B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690917",
            "telephone_number": "617-472-9000",
            "fax_number": "617-472-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST STE 1B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690917",
            "telephone_number": "617-472-9000",
            "fax_number": "617-472-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN COLONY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "617-472-9000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS90247",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Colony Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.