Organization Active NPI

S and D Bernardi Inc

  • Community/Retail Pharmacy
  • Waltham, MA
National Provider Identifier
1902827959
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1549 Issued in MA
Legal business name
S AND D BERNARDI INC
Practice address
577 Main St
Waltham, MA 02452-5527
Phone
(781) 893-3870
Fax
(781) 899-1172
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Stephen Bernard, RPH
Title
VP Pharmacy
Phone
(781) 893-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1549 MA Primary

Addresses

Primary practice location

577 Main St
Waltham, MA 02452-5527

Mailing address

577 Main St
Waltham, MA 02452-5527

Other identifiers 2

IdentifierTypeStateIssuer
2214118OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0434825MedicaidMA

Other names 1

  • JOHNSON DRUG Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1902827959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525527",
            "telephone_number": "781-893-3870",
            "fax_number": "781-899-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND D BERNARDI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "VP PHARMACY",
        "authorized_official_telephone_number": "781-893-3870",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2214118",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434825",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.