Shaws Pharmacy #4572

LBN: Shaws Supermarkets Inc
Shaws Pharmacy #4572 is an health care organization with primary practice located at 370 Western Ave , Brighton MA 02135. 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 Inc can be contacted via phone (617) 782-1628, or through Giannakopoulos, Kathy via phone (208) 395-3932.

Contact Information

Primary practice address
370 Western Ave Brighton MA 02135
Fax: (617) 782-1269
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X DS3218 Massachusetts

Profile Details

NPI number 1467408997
LBN Legal business name Shaws Supermarkets Inc
DBA Doing business as Shaws Pharmacy #4572
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 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 1467408997 NPPES
Massachusetts MEDICAID 110000003O
Massachusetts Other 2038250

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