NPIMap

Organization Active NPI

Rodeanpharma LLC

  • Community/Retail Pharmacy
  • Milford, MA
National Provider Identifier
1992275259
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RODEANPHARMA LLC
Practice address
105 E Main St Unit a
Milford, MA 01757-2709
Phone
(508) 381-2740
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Authorized official

Name
Ali Ardakani, RPHNPI 1699244293
Title
Pharmacy Manager
Phone
(617) 797-6500

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 Primary

Addresses

Primary practice location

105 E Main St Unit a
Milford, MA 01757-2709

Mailing address

105 E Main St Unit a
Milford, MA 01757-2709
Phone (508) 381-2740

Other names 1

  • Milford Central Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190124003233 MA Part B Supplier - Mass Immunization (Roster Biller Only) 7911244256 Practice locations: Milford, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Milford Central Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 E Main St
Ste A
Milford, MA 01757
Phone (508) 381-2740

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": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1992275259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST UNIT A",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572709",
            "telephone_number": "508-381-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST UNIT A",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572709",
            "telephone_number": "508-381-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEANPHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "ARDAKANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "617-797-6500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.