NPIMap

Organization Active NPI

Boston Health Care for the Homeless Program, Inc.

  • Clinic Pharmacy
  • Boston, MA
National Provider Identifier
1801013347
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Practice address
780 Albany St
Boston, MA 02118
Phone
(857) 654-1150
Fax
(857) 654-1445
NPI assigned
Apr 19, 2007
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Agnes W Leung
Title
Chief Financial Officer
Phone
(857) 654-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

780 Albany St
Boston, MA 02118

Mailing address

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1150

Other identifiers 2

IdentifierTypeStateIssuer
2240783OtherNCPDP
110020876AMedicaidMA

Other names 1

  • McInnis House Clinic Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Boston Health Care for the Homeless Program Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1801013347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182755",
            "telephone_number": "857-654-1150",
            "fax_number": "617-654-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "857-654-1150",
            "fax_number": "857-654-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "857-654-1200"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2240783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020876A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McInnis House Clinic Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "McInnis House Clinic Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 7, 2022; 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.