Shaws Pharmacy #3577

LBN: Shaws Supermarkets
Shaws Pharmacy #3577 is an health care organization with primary practice located at 75 Spring St , West Roxbury MA 02132. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shaws Supermarkets can be contacted via phone (617) 327-9360, or through Giannakopoulos, Kathy via phone (208) 395-3932.

Contact Information

Primary practice address
75 Spring St West Roxbury MA 02132
Phone: (617) 327-9360
Fax: (617) 327-2938
Website:
Map and Directions
Authorized official contact:
Name: Giannakopoulos, Kathy
Phone: (208) 395-3932

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X DS3163 Massachusetts

Profile Details

NPI number 1841246402
LBN Legal business name Shaws Supermarkets
DBA Doing business as Shaws Pharmacy #3577
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841246402 NPPES
Massachusetts MEDICAID 110000003J
Massachusetts Other 2037751

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