Organization Active NPI

Dedham Pharmacy & Medical Supply

  • Long Term Care Pharmacy
  • Dedham, MA
National Provider Identifier
1821772203
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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
Jun 14, 2023
Organization subpart
Yes
Parent organization
DEDHAM PHARMACY & MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Leanne Jasset, RPHNPI 1316375652
Title
Pharmacist 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
Long Term Care Pharmacy 3336L0003X 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

Other names 1

  • Dedham LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedham Pharmacy Medical Su2 organizations share this tax ID, including this one
Part of
Dedham Pharmacy Medical Su

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1821772203",
    "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": "YES",
        "parent_organization_legal_business_name": "DEDHAM PHARMACY & MEDICAL SUPPLY",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "JASSET",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "781-326-7007",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedham LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 14, 2023; 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.