Cambridge Public Health Commission
Organization Active NPI Community/Retail Pharmacy · Medford, MA
NPI 1790599652 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1790599652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CAMBRIDGE PUBLIC HEALTH COMMISSION
- Practice address
- 1 Cabot Rd
Medford, MA 02155-5117 - Phone
- (617) 591-6820
- Fax
- (617) 591-6821
- NPI assigned
- Feb 3, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- CAMBRIDGE PUBLIC HEALTH COMMISSION
Authorized official
- Name
- Kenneth Hanlon
- Title
- Manager, Pharmacy Operations
- Phone
- (617) 806-8509
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 43
Practitioners 4
-
Melissa Byron, PA
-
Blakely Ann Plaster, PA-C
-
Kara Kimberly Shaw, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200914000845 | MA | Part B Supplier - Pharmacy | 8921910894 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Revere, MA; Cambridge, MA; Medford, MA; Malden, MA |
National Provider Directory
- Tax ID family
- Cambridge Public Health
- Part of
- Cambridge Public Health
Locations
1 Cabot Rd
Medford, MA 02155
Phone (617) 591-6820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1 Cabot Rd
Medford, MA 02155-5117
Mailing address
1 Cabot Rd
Medford, MA 02155-5117
Phone (617) 591-6820
Other names
- CAMBRIDGE HEALTH ALLIANCE OUTPATIENT PHARMACY MEDFORD
Other providers in Medford, MA
- Kristen J Camara
- Maria Tereza Cambe Barroso Gomes
- Cambridge Health Alliance
- Cambridge Health Alliance
- Cambridge Podiatry Network PC
- Katelyn Campbell
- Cancado Digital Dental Center, PC
- Rhianna Candido
- Albert E Cangiano Jr.
- Stephanie Allison Caplen
All providers in Medford, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.