Organization Active NPI

Roslindale Pharmacy LTD

  • Community/Retail Pharmacy
  • Roslindale, MA
National Provider Identifier
1881781078
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2973 Issued in MA
Legal business name
ROSLINDALE PHARMACY LTD
Doing business as
ROSLINDALE PHARMACY LTD
Practice address
452 Hyde Park Ave
Roslindale, MA 02131-3131
Phone
(617) 325-0300
Fax
(617) 325-2240
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Peter Okwesili
Title
Dir of Pharm
Phone
(617) 325-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2973 MA Primary

Addresses

Primary practice location

452 Hyde Park Ave
Roslindale, MA 02131-3131

Mailing address

452 Hyde Park Ave
Roslindale, MA 02131-3131
Phone (617) 325-0300

Other identifiers 2

IdentifierTypeStateIssuer
0448443MedicaidMA
2038795OtherPK

Other names 1

  • ROSLINDALE PHARMACY LTD Doing business as

National Provider Directory

National Provider Directory

Locations

452 Hyde Park Ave
Roslindale, MA 02131
Phone (617) 325-0300

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1881781078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 HYDE PARK AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313131",
            "telephone_number": "617-325-0300",
            "fax_number": "617-325-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 HYDE PARK AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313131",
            "telephone_number": "617-325-0300",
            "fax_number": "617-325-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSLINDALE PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "OKWESILI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIR OF PHARM",
        "authorized_official_telephone_number": "617-325-0300"
    },
    "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": "2973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSLINDALE PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.