NPIMap

Organization Active NPI

MGH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Boston, MA
National Provider Identifier
1902991573
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MGH OUTPATIENT PHARMACY
Practice address
55 Fruit Street
GRB 005-Attention Karen Ryle
Boston, MA 02114
Phone
(617) 724-3100
Fax
(617) 726-3789
NPI assigned
Oct 3, 2006
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GENERAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Mrs. Karen Marie Ryle, MS RPHNPI 1417008186
Title
Associate Chief of Pharmacy
Phone
(617) 724-9154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

55 Fruit Street
GRB 005-Attention Karen Ryle
Boston, MA 02114

Mailing address

55 Fruit Street
GRB 005-Attention Karen Ryle
Boston, MA 02114
Phone (617) 724-3100

Other identifiers 1

IdentifierTypeStateIssuer
0446777MedicaidMA

Other names 1

  • Massachusetts General Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Consult Serv13 organizations share this tax ID, including this one
Part of
Psychiatry Consult Serv

Other organizations with this tax ID 12

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

Locations

55 Fruit St
#5
Boston, MA 02114
Phone (617) 724-6750

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1902991573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "GRB 005-ATTENTION KAREN RYLE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-724-3100",
            "fax_number": "617-726-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "GRB 005-ATTENTION KAREN RYLE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-724-3100",
            "fax_number": "617-726-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGH OUTPATIENT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERAL HOSPITAL CORPORATION",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "RYLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSOCIATE CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "617-724-9154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446777",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massachusetts General Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.