Organization Active NPI

Balbonis Drug Store Inc

  • Community/Retail Pharmacy
  • Plymouth, MA
National Provider Identifier
1881788339
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1287 Issued in MA
Legal business name
BALBONIS DRUG STORE INC
Doing business as
Balbonis Drug Store Inc
Practice address
289 Court St
Plymouth, MA 02360-4380
Phone
(508) 746-1251
Fax
(508) 747-1549
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Richard Tassinari
Title
Chief PHRM
Phone
(508) 746-1251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1287 MA Primary

Addresses

Primary practice location

289 Court St
Plymouth, MA 02360-4380

Mailing address

289 Court St
Plymouth, MA 02360-4380
Phone (508) 746-1251

Other identifiers 2

IdentifierTypeStateIssuer
2039420OtherPK
0499781MedicaidMA

Other names 1

  • BALBONIS DRUG STORE INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1881788339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604380",
            "telephone_number": "508-746-1251",
            "fax_number": "508-747-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604380",
            "telephone_number": "508-746-1251",
            "fax_number": "508-747-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBONIS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "TASSINARI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF PHRM",
        "authorized_official_telephone_number": "508-746-1251"
    },
    "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": "1287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039420",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499781",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALBONIS DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.