Active NPI
Watch City Pharmacy
- Long Term Care Pharmacy
- Waltham, MA
National Provider Identifier
1972008936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- WATCH CITY PHARMACY
- Practice address
- 923 Main St
Waltham, MA 02451-7416 - Phone
- (978) 201-5247
- Fax
- (781) 570-2327
- NPI assigned
- Mar 29, 2018
- 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
- Steven Macneill
- Title
- Owner
- Phone
- (978) 201-5247
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
923 Main St
Waltham, MA 02451-7416
Mailing address
15 Sudbury Rd
Stow, MA 01775-1511
Phone (978) 201-5247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176900 | Other | PK |
Other names 1
- WATCH CITY PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1972008936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SUDBURY RD",
"city": "STOW",
"state": "MA",
"postal_code": "017751511",
"telephone_number": "978-201-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024517416",
"telephone_number": "978-201-5247",
"fax_number": "781-570-2327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATCH CITY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-29",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "MACNEILL",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-201-5247"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176900",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WATCH CITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.