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CARITAS ST ELIZABETH HEALTH CARE NPI 1043359854


NPI Information

NPI: 1043359854
Provider Name: CARITAS ST ELIZABETH HEALTH CARE

Doing Business As: BRIGHTON MARINE PHARMACY

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
77 WARREN ST
PHCY DEPT
BRIGHTON, MA
ZIP 02135
Phone: (617) 562-5304
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CARITAS ST ELIZABETH HEALTH CARE is a managed care organization pharmacy pharmacy in Brighton, MA. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. CARITAS ST ELIZABETH HEALTH CARE NPI is 1043359854. The provider is registered as an organization entity type.
The provider Is Doing Business As Brighton Marine Pharmacy.

The provider's business location address is:

77 WARREN ST
PHCY DEPT
BRIGHTON, MA
ZIP 02135-601
Phone: (617) 562-5304
Fax: (617) 562-5296

The provider's authorized official is James Germano .
The authorized official title is Phcy Mgr and has the following contact phone number (617) 562-5302.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
53336M0003XPharmacyManaged Care Organization PharmacyMA0148848MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12226175OTHEROTHER ID NUMBER
20401200MEDICAIDMASSACHUSETTS
32226175OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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