STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC (NPI# 1538473269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538473269 |
| Entity Type | Organization |
| Organization Name | STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC |
| Other Organization Name | BRIGHTON MARINE PHARMACY AT HANSCOM |
| Practice Address |
1609 Eglin St Hanscom Afb MA 01731-2613 |
| Practice Telephone | 7812749102 |
| Practice Fax Number | 7812746249 |
| Mailing Telephone | 7812749102 |
| Mailing Fax Number | 7812746249 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2013-11-19 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
MA0058861 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2128072 | 01 |
| Other Name | Type Code |
|---|---|
| Brighton Marine Pharmacy at Hanscom | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053626283 | Steward St Elizabeths Medical Center of Boston Inc | Pharmacy | 77 Warren St, Phcy Dept, Brighton, MA 02135-3601 | 2010-08-12 |
| 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 |
| 1073635264 | Caritas St Elizabeths Health Care | Pharmacy | 1609 Eglin St, Hanscom Afb, MA 01731-2613 | 2007-04-06 |
| 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 | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1851463640 | Elcad Inc | Pharmacy | 235 Sandwich St, Plymouth, MA 02360-2434 | 2006-11-15 |
| 1821548637 | Oakmontscript Lp | Pharmacy | 1500 District Ave, Burlington, MA 01803-5069 | 2016-10-05 |
| 1356440986 | Health Care Pharmacy Inc | Pharmacy | 1030 President Ave, Fall River, MA 02720-5923 | 2006-09-21 |
| City | HANSCOM AFB |
| Zip Code | 01731 |
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.