Active NPI
Union Pharmacy, LLC
- Pharmacy
- Newton Center, MA
National Provider Identifier
1952860801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Xiaoyan Qin, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190903002041 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193054062 | Practice locations: Newton Center, MA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Newton Center, MA
- NPI 1043779374
-
- Pharmacist
- Newton Center, MA
- NPI 1982126157
-
- Pharmacist
- Newton, MA
- NPI 1679201453
-
- Pharmacist
- Newton Centre, MA
- NPI 1417793647
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.