ONCOMED PHARMACEUTICAL SERVICES OF MA, LLC (NPI# 1790013530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790013530 |
| Entity Type | Organization |
| Organization Name | ONCOMED PHARMACEUTICAL SERVICES OF MA, LLC |
| Practice Address |
150 Bear Hill Rd Waltham MA 02451-1036 |
| Mailing Address |
13410 Eastpoint Centre Dr Suite 101 Louisville KY 40223-4160 |
| Practice Telephone | 8776626633 |
| Practice Fax Number | 8776626355 |
| Mailing Telephone | 8776626633 |
| Mailing Fax Number | 5028490643 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | PAUL E JARDINA (PRESIDENT & CEO) |
| Authorized Official Telephone | 8776626633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
DS89702 | MA | Suppliers |
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110084520 | 05 |
| Street Address |
150 BEAR HILL RD |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538602511 | Onco Pharmaceutical Services of Ma, LLC | Pharmacy | 150 Bear Hill Rd, Waltham, MA 02451-1028 | 2016-11-23 |
| 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 | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1538602511 | Onco Pharmaceutical Services of Ma, LLC | Pharmacy | 150 Bear Hill Rd, Waltham, MA 02451-1028 | 2016-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437418399 | Kaashi LLC | Pharmacy | 151 Cochituate Rd, Framingham, MA 01701-7821 | 2012-05-14 |
| 1831461086 | Umass Memorial Medical Center, Inc. | Pharmacy | 55 Lake Ave N Ste Ac1.033, Worcester, MA 01655-0002 | 2012-02-03 |
| 1508159716 | Pharmahealth Specialty/long Term Care, Inc. | Pharmacy | 132 Alden Road, Fairhaven, MA 02719-4721 | 2011-05-20 |
| 1407164007 | Price Chopper Operating Co of Mass Inc | Pharmacy | 731 Boston Tpke, Shrewsbury, MA 01545-3201 | 2010-09-16 |
| 1811072101 | Lynnfield Compounding Center Inc | Pharmacy | 12 Kent Way Ste 120e, Byfield, MA 01922-1221 | 2006-10-26 |
| 1851480545 | Lynnfield Drug Inc | Pharmacy | 12 Kent Way Ste 120f, Byfield, MA 01922-1221 | 2006-10-12 |
| 1821043027 | Accredo Health Group Inc | Pharmacy | 261 Cedar Hill St, Marlborough, MA 01752-3056 | 2006-05-24 |
| 1396701579 | L&c Prescriptions Inc | Pharmacy | 155 Brookdale Dr, Springfield, MA 01104-3207 | 2006-04-25 |
| 1942819164 | Boston Medical Center Corporation | Pharmacy | 41 Teed Dr, Randolph, MA 02368-4201 | 2020-07-23 |
| 1144740317 | Partners Healthcare System Inc. | Pharmacy | 31 North Ave, Burlington, MA 01803-3305 | 2017-06-20 |
| 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.