Wen Cong Lin – Pharmacist in Roxbury Crossing, MA

Key facts

NPI: 1871361063
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: PH997307 (MA)
Practice address: 1630 Tremont St
Roxbury Crossing, MA 02120-1613
Phone: (617) 232-5457
NPI assigned: Dec 18, 2023
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Walgreen Co Pharmacy · Roxbury Crossing, MA · NPI 1164437372

NPD
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PH997307	MA	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Current since Dec 24, 2023	Accepting new patients
Walgreen Co		Past since Dec 24, 2023	Accepting new patients

Locations

1630 Tremont St
Roxbury Crossing, MA 02120
Phone (617) 232-5318

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	PH997307	MA	Yes

Addresses

Primary practice location

1630 Tremont St
Roxbury Crossing, MA 02120-1613

Mailing address

1630 Tremont St
Roxbury Crossing, MA 02120-1613

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2023.

{
    "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

All providers in Roxbury Crossing, MA · Pharmacist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.