CARITAS ST ELIZABETHS HEALTH CARE (NPI# 1073635264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073635264 |
| Entity Type | Organization |
| Organization Name | CARITAS ST ELIZABETHS HEALTH CARE |
| Other Organization Name | BRIGHTON MARINE PHY AT HANSCOM |
| Practice Address |
1609 Eglin St Hanscom Afb MA 01731-2613 |
| Practice Telephone | 7812749102 |
| Practice Fax Number | 7812746249 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | JAMES GERMANO (PHARMACY MANAGER) |
| Authorized Official Telephone | 6175625302 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MA0042870 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2233423 | 01 | |
| OTHER ID NUMBER | 2233423 | 01 |
| Other Name | Type Code |
|---|---|
| BRIGHTON MARINE PHY AT HANSCOM | Doing Business As Name - Organization |
| Street Address |
1609 EGLIN ST |
| City | HANSCOM AFB |
| State | MA |
| Zip Code | 01731-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132745 | Nathaniel F Brown | Emergency Medicine | 1609 Eglin St, Hanscom Afb, Hanscom Afb, MA 01731-2613 | 2005-08-31 |
| 1538473269 | Steward St Elizabeths Medical Center of Boston Inc | Pharmacy | 1609 Eglin St, Hanscom Afb, MA 01731-2613 | 2010-08-05 |
| 1467524827 | St. Elizabeth's Healthcare At Hanscom Air Base | Clinic/Center | 1609 Eglin St, Hanscom Afb, MA 01731-2613 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114171 | Aletha Juah Thomas | Nurse's Aide | 1 Freedom Cir, Hanscom Afb, MA 01731 | 2018-12-05 |
| 1730609793 | Christopher M. Congemi | Dentist | 66mds (afmc), 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA 01731 | 2017-06-21 |
| 1184011322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Elgin St, Bldg 1709 B, Hanscom Afb, MA 01731 | 2015-04-24 |
| 1578822912 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Hanscom Afb, Building 1709, Bedford, MA 01731 | 2012-05-04 |
| 1215099858 | Paul R. Rivest | Psychologist | 66th Mdg Sgoh, Hanscom Afb, MA 01731 | 2006-12-13 |
| 1497837843 | Mara Salis | Social Worker | 2 Eglin St, Hanscom Afb, MA 01731 | 2006-10-19 |
| 1790749398 | Lakshmi Kona | Internal Medicine | 1609 Eglin Street, Hanscon Afb, MA 01731 | 2006-04-12 |
| 1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
| 1972589828 | Aron R. Potter | Psychologist | 90 Vandenberg Drive, Bldg 1900 66 Mds (afmc), Hanscom Afb, MA 01731 | 2005-12-21 |
| 1730160938 | Mohammed Fuad | Physician Assistant | 66 Mds (afmc), 90 Vandenberg Dr. Bldg. 1900, Hanscom Afb, MA 01731 | 2005-11-07 |
| Find all providers in zip 01731 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1053776211 | The Hospital Corporation | Pharmacy | 55 Fruit St # Gb005, Ma General Hosptital, Boston, MA 02114-2621 | 2015-12-15 |
| 1487806725 | East Boston Neighborhood Health Center, Inc | Pharmacy | 26 Sturgis St, Winthrop, MA 02152-1219 | 2008-10-17 |
| 1235292863 | Ppf Inc | Pharmacy | 499 Eastern Ave, Lynn, MA 01902-1570 | 2006-12-18 |
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1689144982 | Brigham & Womens Hospital, Inc. | Pharmacy | 45 Francis St, Boston, MA 02115-6105 | 2018-11-29 |
| 1144743410 | Community Health Center of Cape Cod, Inc. | Pharmacy | 123 Waterhouse Rd, Bourne, MA 02532-3890 | 2017-07-19 |
| 1164860540 | Atrius Health Inc. Dba Harvard Vanguard Medical Associates | Pharmacy | 330 Baker Ave, Concord, MA 01742-2188 | 2013-06-07 |
| 1497198303 | Steward St. Anne's Hospital Corp. Reginal Cancer Center | Pharmacy | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2013-04-10 |
| 1295068559 | Charles River Community Health, Inc | Pharmacy | 495 Western Ave, Brighton, MA 02135-1007 | 2009-09-17 |
| 1487894291 | Cvs Pharmacy, Inc. | Pharmacy | 55 Dimock St, Roxbury, MA 02119-1029 | 2009-03-06 |
| Find all providers with the same taxonomy | ||||
| City | HANSCOM AFB |
| Zip Code | 01731 |
Please comment or provide details below to improve the information on CARITAS ST ELIZABETHS HEALTH CARE.
| 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.