Active NPI
Whittier Street Health Center Pharmacy
- Pharmacy
- Roxbury, MA
National Provider Identifier
1912674417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WHITTIER STREET HEALTH CENTER PHARMACY
- Practice address
- 1290 Tremont St
Roxbury, MA 02120-3432 - Phone
- (617) 427-1000
- Fax
- (617) 989-3247
- NPI assigned
- Aug 24, 2021
- Organization subpart
- Yes
- Parent organization
- WHITTIER STREET HEALTH CENTER COMMITTEE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Lee
- Title
- Senior VP of Finance and Cfo
- Phone
- (617) 989-3230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1290 Tremont St
Roxbury, MA 02120-3432
Mailing address
1290 Tremont St
Roxbury, MA 02120-3432
Phone (617) 427-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028189A | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Whittier Street Health
- Part of
- Whittier Street Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Whittier Street Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roxbury Crossing, MA
- NPI 1699956714
-
dba Whittier Street Health Center
- Clinic/Center
- Roxbury Crossing, MA
- NPI 1457397986
Locations
1290 Tremont St
Roxbury Crossing, MA 02120
Phone (617) 427-1000
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.
-
dba Whittier Street Health Center
- Clinic/Center
- Roxbury Crossing, MA
- NPI 1457397986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1912674417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021203432",
"telephone_number": "617-427-1000",
"fax_number": "617-989-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021203432",
"telephone_number": "617-427-1000",
"fax_number": "617-989-3247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITTIER STREET HEALTH CENTER PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITTIER STREET HEALTH CENTER COMMITTEE INC",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "SENIOR VP OF FINANCE AND CFO",
"authorized_official_telephone_number": "617-989-3230"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110028189A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.