BALBONIS DRUG STORE INC (NPI# 1881788339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881788339 |
| Entity Type | Organization |
| Organization Name | BALBONIS DRUG STORE INC |
| Other Organization Name | BALBONIS DRUG STORE INC |
| Practice Address |
289 Court St Plymouth MA 02360-4380 |
| Practice Telephone | 5087461251 |
| Practice Fax Number | 5087471549 |
| Mailing Telephone | 5087461251 |
| Mailing Fax Number | 5087471549 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | RICHARD TASSINARI (CHIEF PHRM) |
| Authorized Official Telephone | 5087461251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1287 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0499781 | 05 | |
| PK | 2039420 | 01 |
| Other Name | Type Code |
|---|---|
| BALBONIS DRUG STORE INC | Doing Business As Name - Organization |
| Street Address |
289 COURT ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437620903 | Grand St Paul Cvs LLC | Pharmacy | 17435 County Road 6, Plymouth, MN 55447-3046 | 2018-12-10 |
| 1144390220 | Willard Foods Inc | Pharmacy | 262 Sandusky St, Plymouth, OH 44865-1151 | 2006-11-08 |
| 1366521189 | Martin's Super Market | Pharmacy | 865 E Jefferson St, Plymouth, IN 46563-1847 | 2006-11-03 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| 1568561868 | Cvs Pharmacy Inc | Pharmacy | 2253 State Rd, Plymouth, MA 02360-5150 | 2006-09-22 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1295838902 | Hook Superx LLC | Pharmacy | 1900 N Michigan St, Plymouth, IN 46563-1046 | 2006-09-07 |
| 1972605269 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 49485 Ann Arbor Rd W, Plymouth, MI 48170-3206 | 2006-09-05 |
| 1396857231 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 40900 Ann Arbor Rd E, Plymouth, MI 48170-4430 | 2006-08-31 |
| 1013928605 | Pokerville Drug | Pharmacy | 18170 Hwy 49, Suite A, Plymouth, CA 95669 | 2006-08-10 |
| Find all providers in PLYMOUTH | ||||
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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.