DORCHESTER HOUSE MULTI-SERVICE CENTER (NPI# 1265650386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265650386 |
Entity Type | Organization |
Organization Name | DORCHESTER HOUSE MULTI-SERVICE CENTER |
Other Organization Name | DORCHESTER HOUSE PHARMACY |
Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
Practice Telephone | 6177402544 |
Practice Fax Number | 6177402540 |
Mailing Telephone | 6177402544 |
Mailing Fax Number | 6177402540 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-07-08 |
Authorized Official Name | MR. SEBASTIAN HAMILTON (ASSOCIATE CHIEF PHARMACY OFFICER) |
Authorized Official Telephone | 6174145377 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
54471 | MA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0405272 | 05 | |
MA | NCPDP | 2240973 | 01 |
Other Name | Type Code |
---|---|
Dorchester House Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891053963 | Dorchester House Multi-service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2012-04-26 |
Street Address |
1353 DORCHESTER AVE |
City | DORCHESTER |
State | MA |
Zip Code | 02122-2932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750340410 | Holly L Goodale | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-21 |
1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
Find all providers in zip 02122 |
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 |
---|---|---|---|---|
1902954449 | Harvard Street Neighborhood Health Center Inc | Pharmacy | 632 Blue Hill Avenue, Dorchester, MA 02121 | 2007-01-08 |
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 | DORCHESTER |
Zip Code | 02122 |
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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.