Samuels Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15095 Issued in MA

Legal business name

SAMUELS PHARMACY INC

Practice address

46 Woodside Ave
Winthrop, MA 02152-2920

Phone

(617) 846-2200

Fax

(617) 846-8222

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Peter Lyons

Title

Mang

Phone

(617) 846-2200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAMUELS PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1861543845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WOODSIDE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522920",
            "telephone_number": "617-846-2200",
            "fax_number": "617-846-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WOODSIDE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522920",
            "telephone_number": "617-846-2200",
            "fax_number": "617-846-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "617-846-2200"
    },
    "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": "15095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422894",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2215095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMUELS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Anna Rein, RN
• Victoria Reyes
• John Michael Riley, PH.D.
• Timothy Rivotto
• Roderick Family LLC
• Jade Santangelo, LMHC
• Alexandria Santiago, LICSW
• Bridget A Schulz, APRN
• Richard A Schwartz, D.M.D.
• Kristen M. Seashore, LICSW

• Community/Retail Pharmacy in Winthrop, MA
• Providers in Winthrop, 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 4, 2010; 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.