NPIMap

Organization Active NPI

Boston Medical Center Corp

  • Community/Retail Pharmacy
  • South Boston, MA
National Provider Identifier
1962279109
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOSTON MEDICAL CENTER CORP
Practice address
409 West Broadway
South Boston, MA 02127-2245
Phone
(617) 638-8810
Fax
(617) 638-8811
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Mr. David Twitchell, PHARMD, MBA
Title
SVP and Chief Innovation Officer
Phone
(617) 638-6799

Specialties & licenses 1

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

Addresses

Primary practice location

409 West Broadway
South Boston, MA 02127-2245

Mailing address

409 West Broadway
South Boston, MA 02127-2245
Phone (617) 638-8810

Other names 1

  • BMC Pharmacy at South Boston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston Medical Center Corporation Dba Cornerstone Health Solutions52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1962279109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WEST BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272245",
            "telephone_number": "617-638-8810",
            "fax_number": "617-638-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WEST BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272245",
            "telephone_number": "617-638-8810",
            "fax_number": "617-638-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "TWITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SVP AND CHIEF INNOVATION OFFICER",
        "authorized_official_telephone_number": "617-638-6799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMC Pharmacy at South Boston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BMC Pharmacy at South Boston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.