Organization Active NPI

Union Pharmacy, LLC

  • Pharmacy
  • Newton Center, MA
National Provider Identifier
1952860801
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UNION PHARMACY, LLC
Practice address
103 Union St
Newton Center, MA 02459-2201
Phone
(617) 304-7477
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Dr. Xiaoyan Qin, PHARMDNPI 1043779374
Title
Pharmacist
Phone
(617) 304-7477

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

103 Union St
Newton Center, MA 02459-2201

Mailing address

63 Suffolk Rd
Wellesley Hills, MA 02481-2601
Phone (617) 304-7477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190903002041 MA Part B Supplier - Mass Immunization (Roster Biller Only) 5193054062 Practice locations: Newton Center, MA

National Provider Directory

National Provider Directory

Locations

103 Union St
Newton Centre, MA 02459
Phone (617) 304-7477

Practitioners & affiliated clinicians

Practitioners 4

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": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1952860801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SUFFOLK RD",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812601",
            "telephone_number": "617-304-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 UNION ST",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592201",
            "telephone_number": "617-304-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "QIN",
        "authorized_official_first_name": "XIAOYAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "617-304-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.