STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC (NPI# 1053626283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053626283 |
| Entity Type | Organization |
| Organization Name | STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC |
| Other Organization Name | BRIGHTON MARINE HEALTH CENTER PHARMACY |
| Practice Address |
77 Warren St Phcy Dept Brighton MA 02135-3601 |
| Mailing Address |
77 Warren St Phcy Dept Brighton MA 02135-3682 |
| Practice Telephone | 6175625304 |
| Practice Fax Number | 6175625296 |
| Mailing Telephone | 6175625304 |
| Mailing Fax Number | 6175625296 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | JAMES GERMANO (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 6175625302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
MA0058873 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110087064C | 05 | |
| PK | 2128070 | 01 |
| Other Name | Type Code |
|---|---|
| Brighton Marine Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538473269 | Steward St Elizabeths Medical Center of Boston Inc | Pharmacy | 1609 Eglin St, Hanscom Afb, MA 01731-2613 | 2010-08-05 |
| Street Address |
77 WARREN ST PHCY DEPT |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131194 | Roger F Cohen | Clinical Neuropsychologist | 77 Warren St, Suite 453, Brighton, MA 02135-3601 | 2005-08-11 |
| 1699383489 | Rhianna Candido | Registered Nurse | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-17 |
| 1770101586 | Jennie Vaughan Hollyday | Peer Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-08 |
| 1922620863 | Jonathan Kolodziej | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2020-05-14 |
| 1114401098 | Hayley Youngstrom | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1548744436 | Kelsey Elizabeth Connolly | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1629551585 | Caitlyn Burns | Counselor | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-07 |
| 1790294981 | Evan Moran Queenan | Counselor | 77 Warren St, Brighton, MA 02135 | 2017-09-20 |
| 1609395615 | Hannah Goehner | Student in an Organized Health Care Education/Training Program | 77 Warren St, Brighton, MA 02135-3601 | 2017-09-12 |
| 1669990727 | Yasmin A Santos | Registered Nurse | 77 Warren St, Brighton, MA 02135 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538321328 | Allcare Pharmacy Inc | Pharmacy | 12 Plymouth St, Suite #100, Worcester, MA 01608-2121 | 2008-07-02 |
| 1568653988 | Smartpak Equine, LLC | Pharmacy | 40 Grissom Road, Suite 500, Plymouth, MA 02360-7205 | 2007-08-09 |
| 1437351384 | New York Diabetic Supply | Pharmacy | 958 - E 2nd Street, Brooklyn, MA 11230-2610 | 2007-06-04 |
| 1376670109 | Injured Workers Pharmacy, LLC | Pharmacy | 300 Federal St, Andover, MA 01810-1038 | 2007-02-28 |
| 1083141659 | Boston Medical Center Corporation | Pharmacy | 41 Teed Dr, Randolph, MA 02368-4201 | 2017-05-15 |
| 1548684814 | Harbor Health Services, Inc. | Pharmacy | 735 Attucks Ln, Hyannis, MA 02601-1867 | 2014-02-07 |
| 1306274949 | Coram Healthcare Corporation of Massachusetts | Pharmacy | 367 W Main St, Suite F, Northborough, MA 01532-2100 | 2013-10-16 |
| 1679735765 | Caremark, L.L.C. | Pharmacy | 25 Birch St, Building B Suite 100, Milford, MA 01757-3585 | 2008-06-30 |
Please comment or provide details below to improve the information on STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.