SHORE PHARMACY NPI 1275545857

NPI Information

  • NPI: 1275545857
  • Provider Name: SHORE PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 429 HIGH ST
    MEDFORD, MA
    ZIP 02155
  • Phone: (781) 395-4420

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NPI Details

SHORE PHARMACY is a durable medical equipment medical supplies in Medford, MA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SHORE PHARMACY NPI is 1275545857. The provider is registered as an organization entity type.

The provider's business location address is:

429 HIGH ST
MEDFORD, MA
ZIP 02155-632
Phone: (781) 395-4420
Fax: (781) 379-2962

The provider's authorized official is Robert Pasquariello .
The authorized official title is Owner and has the following contact phone number (781) 395-4420.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy2621MASSACHUSETTSNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3332B00000XDurable Medical Equipment & Medical Supplies2621MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10426644MEDICAIDMASSACHUSETTS
22200917OTHEROTHER 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: 11/21/2025

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