Concord Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3607 Issued in MA

Legal business name

CONCORD PHARMACY INC

Practice address

1212 Main St
Concord, MA 01742-3008

Phone

(978) 369-3100

Fax

(978) 371-1613

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Saad Dinno, RPH

Title

Owner

Phone

(978) 369-3100

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WEST CONCORD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Diane Thilk Briner, RPH

  • Pharmacist
  • Concord, MA
  • NPI 1033706957
  NPD (past)
• Daniel Dinno, PHARMD

  • Pharmacist
  • Acton, MA
  • NPI 1841901519
  NPD (past)
• Lucy Maserejian, RPH

  • Pharmacist
  • Concord, MA
  • NPI 1124435656
  NPD (past)
• Virginia Tawa, PHARMD

  • Pharmacist
  • Concord, MA
  • NPI 1285222737
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1821170283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423008",
            "telephone_number": "978-369-3100",
            "fax_number": "978-371-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423008",
            "telephone_number": "978-369-3100",
            "fax_number": "978-371-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "DINNO",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-369-3100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3607",
            "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": "2038524",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422975",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST CONCORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Concord OB/GYN Associates PC
• Concord Optical
• Concord Optical Company Inc
• Concord Orthodontics PLLC
• Concord Orthopedics, Inc
• Concord Plastic Surgery Inc
• Concord Primary Care,Inc
• Concord Prosthetics and Orthotics
• Concord Sleep Associates LLC
• Concord Speech, LLC

• Community/Retail Pharmacy in Concord, MA
• Providers in Concord, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.