Active NPI
Wen Cong Lin
- Pharmacist
- Roxbury Crossing, MA
National Provider Identifier
1871361063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH997307
- Practice address
- 1630 Tremont St
Roxbury Crossing, MA 02120-1613 - Phone
- (617) 232-5457
- NPI assigned
- Dec 18, 2023
- Last updated
- Dec 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH997307 | MA | Primary |
Addresses
Primary practice location
1630 Tremont St
Roxbury Crossing, MA 02120-1613
Mailing address
1630 Tremont St
Roxbury Crossing, MA 02120-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH997307 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1630 Tremont St
Roxbury Crossing, MA 02120
Phone (617) 232-5318
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1871361063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 TREMONT ST",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 TREMONT ST",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201613",
"telephone_number": "617-232-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "WEN CONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH997307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.