Organization Active NPI

Saigon Pharmacy Inc

  • Community/Retail Pharmacy
  • Dorchester, MA
National Provider Identifier
1932610375
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
DS2696 Issued in MA
Legal business name
SAIGON PHARMACY INC
Practice address
1167A Dorchester Ave
Dorchester, MA 02125-1561
Phone
(617) 282-9134
Fax
(617) 282-9317
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Uyen Thi PhamNPI 1336422724
Title
Pharmacist
Phone
(617) 959-5256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X DS2696 MA Primary

Addresses

Primary practice location

1167A Dorchester Ave
Dorchester, MA 02125-1561

Mailing address

1167A Dorchester Ave
Dorchester, MA 02125-1561
Phone (617) 282-9134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180926001302 MA Part B Supplier - Pharmacy 1153672456 Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

1167A Dorchester Ave
Dorchester, MA 02125
Phone (617) 282-9134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1932610375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167A DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251561",
            "telephone_number": "617-282-9134",
            "fax_number": "617-282-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167A DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251561",
            "telephone_number": "617-282-9134",
            "fax_number": "617-282-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIGON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "UYEN",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "617-959-5256"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.