THEATRE PHARMACY INC (NPI# 1083765903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083765903 |
| Entity Type | Organization |
| Organization Name | THEATRE PHARMACY INC |
| Other Organization Name | THEATRE PHARMACY |
| Practice Address |
1784 Massachusetts Ave Lexington MA 02420-5302 |
| Practice Telephone | 7818624480 |
| Practice Fax Number | 7818609567 |
| Mailing Telephone | 7818624480 |
| Mailing Fax Number | 7818609567 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | STEPHEN CAMELIO (PHARMACIST) |
| Authorized Official Telephone | 7818624480 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8761 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 2208761 | 01 | |
| MA | 0414832 | 05 |
| Other Name | Type Code |
|---|---|
| Theatre Pharmacy | Doing Business As Name - Organization |
| Street Address |
1784 MASSACHUSETTS AVE |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804525 | Theatre Pharmacy Company Inc. | Pharmacy | 1784 Massachusetts Ave, Lexington, MA 02420-5391 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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| 1447807458 | Saint Joseph Health System, Inc | Pharmacy | 1401 Harrodsburg Rd Ste B375, Lexington, KY 40504-3700 | 2019-08-23 |
| 1013490978 | Jason Lee Ratliff | Pharmacy | 740 South Limestone Street Room J-134, Lexington, KY 40536-0001 | 2018-09-07 |
| 1912433228 | Family Pharmacy LLC | Pharmacy | 4316 S Nc Highway 150, Lexington, NC 27295-5161 | 2017-05-05 |
| 1730564733 | Sunshine Pharmacy Services LLC | Pharmacy | 1856 S Lake Dr Ste K, Lexington, SC 29073-7225 | 2015-07-21 |
| 1184008435 | Your Care Pharmacy of Kentucky, LLC | Pharmacy | 3660 Rabbits Foot Trl, Unit 1, Lexington, KY 40503-3750 | 2015-07-16 |
| 1932532066 | Costco Wholesale Corporation | Pharmacy | 1500 Fitzgerald Ct Ste 100, Lexington, KY 40509 | 2013-08-13 |
| 1588007090 | Pharmacy Surge Unit #1 | Pharmacy | 808 Newtown Cir, Lexington, KY 40511-1230 | 2013-04-15 |
| 1255620464 | Broadway Clinic Pharmacy Inc | Pharmacy | 698 E New Circle Rd, Lexington, KY 40505-2948 | 2011-03-29 |
| Find all providers in LEXINGTON | ||||
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| 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.