Shaws Pharmacy #2579

LBN: Shaws Supermarkets Inc
Shaws Pharmacy #2579 is an health care organization with primary practice located at 1377 Hyde Park Ave , Hyde Park MA 02136. 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) 364-3161, or through Giannakopoulos, Kathy via phone (208) 395-3932.

Contact Information

Primary practice address
1377 Hyde Park Ave Hyde Park MA 02136
Fax: (617) 361-3417
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 DS3239 Massachusetts

Profile Details

NPI number 1669428223
LBN Legal business name Shaws Supermarkets Inc
DBA Doing business as Shaws Pharmacy #2579
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 1669428223 NPPES
Other 2037753 PK
MEDICAID 110000003P PK

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