| NPI | 1043359854 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-02-06 |
| Last Updated | 2007-09-12 |
| Authorized Official | James Germano PHCY MGR Phone: 6175625302 |
| Mailing Address | 77 Warren St, Phcy Dept Brighton, MA 02135-3601 United States 📍 View Map |
| Primary Practice Address | 77 Warren St, Phcy Dept Brighton, MA 02135-3601 United States Phone: (617) 562-5304 | Fax: (617) 562-5296 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MA | 0401200 | — |
| Other (non-Medicare) | — | 2226175 | Other ID Number-Commercial Number |
| Other (non-Medicare) | — | 2226175 | Other ID Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0002X – Pharmacy, Clinic Pharmacy | — | — |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | — | — |
| No | 3336M0002X – Pharmacy, Mail Order Pharmacy | — | — |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | — | — |
| Yes | 3336M0003X – Pharmacy, Managed Care Organization Pharmacy | MA | MA0148848 |
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About NPI 1043359854
Caritas St Elizabeth Health Care is an organization registered in the CMS NPPES NPI Registry with NPI number 1043359854. The primary specialty listed is Pharmacy, Managed Care Organization Pharmacy. The organization is located in Brighton, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043359854?
NPI 1043359854 belongs to Caritas St Elizabeth Health Care, a Pharmacy, Managed Care Organization Pharmacy in Brighton, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043359854 active?
The current status of NPI 1043359854 in the NPPES registry is Active. The record was last updated on 2007-09-12.
What specialty is NPI 1043359854?
NPI 1043359854 is classified under the taxonomy Pharmacy, Managed Care Organization Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043359854?
You can verify NPI 1043359854 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043359854?
The primary practice address on file for NPI 1043359854 is 77 Warren St, Brighton, MA 02135-3601. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043359854 issued?
NPI 1043359854 was first issued (enumerated) on 2007-02-06. The NPPES record was last updated on 2007-09-12.
Practice Location Map
Caritas St Elizabeth Health Care is located at 77 Warren St, Brighton, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Caritas St Elizabeth Health Care. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043359854. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Managed Care Organization Pharmacy | MA0148848 | MA |