Seaside Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SEASIDE PHARMACY INC.

Practice address

169 Shirley Ave
Revere, MA 02151-3256

Phone

(781) 284-6525

Fax

(782) 128-4630

NPI assigned

Jan 26, 2024

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tu Anh T VoNPI 1134403132

Title

President

Phone

(781) 284-6525

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Seaside Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seaside Pharmacy Inc.

  • Community/Retail Pharmacy
  • Revere, MA
  • NPI 1760804397
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tu Anh T Vo, PHARM D.

  • Pharmacist
  • Rockland, MA
  • NPI 1134403132
  NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1891557633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513256",
            "telephone_number": "161-772-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513256",
            "telephone_number": "781-284-6525",
            "fax_number": "782-128-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TU ANH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-284-6525"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760804397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aly Savane Sr.
• Elliot Joseph Schaeffer, D.O.
• Katherine H Schiavoni, MD
• Giuseppina Sclafani, PHARMD
• Seaside Pharmacy Inc.
• Kathleen Ann Seely
• Margaret Selesky
• Nicole Sendner
• Marisa Arline Shea, MD
• Shiva Transportation Services LLC

• Long Term Care Pharmacy in Revere, MA
• Providers in Revere, MA by specialty
• Long Term Care Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.