Moms Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOMS PHARMACY, INC.

Practice address

75 Amory St
Roxbury, MA 02119-1051

Phone

(617) 708-3922

Fax

(617) 708-3999

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Glenn Schabel, R.PH.

Title

General Manager

Phone

(631) 870-5129

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1821379298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 AMORY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191051",
            "telephone_number": "617-708-3922",
            "fax_number": "617-708-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 AMORY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191051",
            "telephone_number": "617-708-3922",
            "fax_number": "617-708-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "SCHABEL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "631-870-5129",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mitchell
• Nia-Sue Mitchum, LICSW
• Maryan Mohamed Mohamud
• Frantz M Moise, PH.D.
• Manuel I Molina, D.M.D
• Chelsea R Mondock
• Genevor Iola Monell
• Gabriela C Monge, BA
• Chloe Cadence Monsen
• Bruno Monteiro

• Community/Retail Pharmacy in Roxbury, MA
• Providers in Roxbury, 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 Aug 30, 2011; 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.