Organization Active NPI

Dedham Pharmacy & Medical Supply

  • Community/Retail Pharmacy
  • Dedham, MA
National Provider Identifier
1801253489
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DEDHAM PHARMACY & MEDICAL SUPPLY
Practice address
596 Providence Hwy
Dedham, MA 02026-6804
Phone
(781) 326-7007
Fax
(781) 326-7006
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Leanne Jasset, R.PH.NPI 1316375652
Title
Owner
Phone
(781) 326-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

596 Providence Hwy
Dedham, MA 02026-6804

Mailing address

596 Providence Hwy
Dedham, MA 02026-6804
Phone (781) 326-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170510000073 MA Part B Supplier - Mass Immunization (Roster Biller Only) 5395022818 Practice locations: Dedham, MA
O20171003005954 MA DME Supplier - Pharmacy 5395022818 Practice locations: Dedham, MA

National Provider Directory

National Provider Directory
Tax ID family
Dedham Pharmacy Medical Su2 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.

Locations

596 Providence Hwy
Dedham, MA 02026
Phone (781) 326-7007

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1801253489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266804",
            "telephone_number": "781-326-7007",
            "fax_number": "781-326-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266804",
            "telephone_number": "781-326-7007",
            "fax_number": "781-326-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDHAM PHARMACY & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "JASSET",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-326-7007",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.