NPIMap

Organization Active NPI

Maryesther Inc

Doing business as Smith Drug

  • Community/Retail Pharmacy
  • Wakefield, MA
National Provider Identifier
1821215922
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2198 Issued in MA
Legal business name
MARYESTHER INC
Doing business as
Smith Drug
Practice address
390 Main St
Wakefield, MA 01880-5015
Phone
(781) 245-0380
Fax
(781) 245-1350
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Maryesther Fournier, BS RPHNPI 1225409196
Title
President and Treasurer
Phone
(781) 245-0380

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2198 MA Primary

Addresses

Primary practice location

390 Main St
Wakefield, MA 01880-5015

Mailing address

390 Main St
Wakefield, MA 01880-5015
Phone (781) 245-0380

Other identifiers 2

IdentifierTypeStateIssuer
0413917MedicaidMA
2037242OtherPK

Other names 1

  • SMITH DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

390 Main St
Wakefield, MA 01880
Phone (781) 245-0380

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1821215922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805015",
            "telephone_number": "781-245-0380",
            "fax_number": "781-245-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805015",
            "telephone_number": "781-245-0380",
            "fax_number": "781-245-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYESTHER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "MARYESTHER",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "781-245-0380",
        "authorized_official_credential": "BS RPH"
    },
    "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": "2198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413917",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.