Organization Active NPI

Oldens Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • S Weymouth, MA
National Provider Identifier
1851438691
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLDENS PHARMACY INC
Practice address
101 Pleasant St
S Weymouth, MA 02190-2400
Phone
(781) 337-0187
Fax
(781) 331-1339
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Bill Macauther
Title
Owner
Phone
(781) 337-0187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

101 Pleasant St
S Weymouth, MA 02190-2400

Mailing address

101 Pleasant St
S Weymouth, MA 02190-2400
Phone (781) 337-0187

Other identifiers 1

IdentifierTypeStateIssuer
0497223MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000653 MA Part B Supplier - Mass Immunization (Roster Biller Only) 6901923028 Practice locations: South Weymouth, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1851438691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021902400",
            "telephone_number": "781-337-0187",
            "fax_number": "781-331-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021902400",
            "telephone_number": "781-337-0187",
            "fax_number": "781-331-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDENS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "MACAUTHER",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-337-0187"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497223",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.