| NPI | 1366433104 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-11-01 |
| Last Updated | 2024-12-26 |
| Authorized Official | Bhavesh Shah VP & Chief Pharmacy Officer Phone: 6176386789 |
| Mailing Address | 732 Harrison Ave Boston, MA 02118-2309 United States Phone: (617) 638-8130 | Fax: (617) 638-8125 📍 View Map |
| Primary Practice Address | 732 Harrison Ave Boston, MA 02118-2309 United States Phone: (617) 638-8130 | Fax: (617) 638-8125 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MA | 0447145 | - |
| Other (non-Medicare) | MA | DSH723B | DSH number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 333600000X – Pharmacy | MA | 340 |
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About NPI 1366433104
Boston Medical Center Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1366433104. The primary specialty listed is Pharmacy. The organization is located in Boston, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366433104?
NPI 1366433104 belongs to Boston Medical Center Corporation, a Pharmacy in Boston, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366433104 active?
The current status of NPI 1366433104 in the NPPES registry is Active. The record was last updated on 2024-12-26.
What specialty is NPI 1366433104?
NPI 1366433104 is classified under the taxonomy 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 1366433104?
You can verify NPI 1366433104 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 1366433104?
The primary practice address on file for NPI 1366433104 is 732 Harrison Ave, Boston, MA 02118-2309. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366433104 issued?
NPI 1366433104 was first issued (enumerated) on 2005-11-01. The NPPES record was last updated on 2024-12-26.
Practice Location Map
Boston Medical Center Corporation is located at 732 Harrison Ave, Boston, 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 Boston Medical Center Corporation. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366433104. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 340 | MA |