NPIMap

Organization Active NPI

Mona Pharmacy Corp

Doing business as central pharmacy

  • Pharmacy
  • Allston, MA
National Provider Identifier
1912149493
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
DS89966 Issued in MA
Legal business name
MONA PHARMACY CORP
Doing business as
central pharmacy
Practice address
1349 Commonwealth Ave
Allston, MA 02134-3301
Phone
(617) 254-5900
Fax
(617) 254-5908
NPI assigned
Mar 31, 2009
Last updated
Jun 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Dipesh Chaudhary
Title
Secretarey
Phone
(617) 254-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X DS89966 MA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1349 Commonwealth Ave
Allston, MA 02134-3301

Mailing address

1349 Commonwealth Ave
Allston, MA 02134-3301
Phone (617) 254-5900

Other identifiers 2

IdentifierTypeStateIssuer
110104358AMedicaidMA
2152541OtherPK

Other names 1

  • central pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1349 Commonwealth Ave
Boston, MA 02134
Phone (617) 254-5900

Practitioners & affiliated clinicians

Practitioners 3

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": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1912149493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 COMMONWEALTH AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021343301",
            "telephone_number": "617-254-5900",
            "fax_number": "617-254-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 COMMONWEALTH AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021343301",
            "telephone_number": "617-254-5900",
            "fax_number": "617-254-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "DIPESH",
        "authorized_official_title_or_position": "SECRETAREY",
        "authorized_official_telephone_number": "617-254-5900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "DS89966",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110104358A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "central pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.