PELHAM COMMUNITY PHARMACY, INC (NPI# 1598889172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598889172 |
| Entity Type | Organization |
| Organization Name | PELHAM COMMUNITY PHARMACY, INC |
| Other Organization Name | PELHAM COMMUNITY PHARMACY |
| Practice Address |
196 Bear Hill Rd Waltham MA 02451-1004 |
| Practice Telephone | 7819662700 |
| Practice Fax Number | 7818900234 |
| Mailing Telephone | 7819662700 |
| Mailing Fax Number | 7818900234 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | BHUREN PATEL (OWNER) |
| Authorized Official Telephone | 7819662700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
DS89647 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2237837 | 01 | |
| MA | 0407810 | 05 |
| Other Name | Type Code |
|---|---|
| PELHAM COMMUNITY PHARMACY | Doing Business As Name - Organization |
| Street Address |
196 BEAR HILL RD |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255662201 | Bhuren Harish Patel | Pharmacist | 196 Bear Hill Rd, Waltham, MA 02451-1004 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1750629721 | Woodmark Pharmacy of Massachusetts, LLC | Pharmacy | 69 Hickory Dr, Suite 1, Waltham, MA 02451-1011 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1194366955 | Remedium Pharmacy, LLC | Pharmacy | 2 Vinal Sq, North Chelmsford, MA 01863-1312 | 2019-10-03 |
| 1184194276 | Pharma Service LLC | Pharmacy | 1183 Acushnet Ave, New Bedford, MA 02746-1905 | 2018-11-30 |
| 1023562006 | Prescott Pharmacy Ltc Inc | Pharmacy | 100 Grove St Ste B12, Worcester, MA 01605-2627 | 2016-08-08 |
| 1508249137 | Mbs Pharma Care, Inc. | Pharmacy | 1035b Providence Rd, Whitinsville, MA 01588-2121 | 2015-07-01 |
| 1568896785 | Shreeji Enterprises LLC | Pharmacy | 1275 Pawtucket Blvd Ste 3, Lowell, MA 01854-1070 | 2013-08-23 |
| 1477784304 | Mhhp Acquisition Company, LLC | Pharmacy | 574 Hartford Turnpike, Shrewsbury, MA 01545 | 2009-07-27 |
| 1376785196 | Family Pharmacy Ltc Inc | Pharmacy | 63a Main Street, Ashburnham, MA 01430 | 2009-03-25 |
| 1952566309 | Daw LLC | Pharmacy | 427 Turnpike St, Canton, MA 02021 | 2008-07-25 |
| 1598828980 | Medicine Store Inc. | Pharmacy | 409 Lowell St, Wakefield, MA 01880-1962 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
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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.