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EDLINE GROUP INCORPORATED NPI 1558443341


NPI Information

NPI: 1558443341
Provider Name: EDLINE GROUP INCORPORATED

Doing Business As: COMPTON DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
393 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
Phone: (617) 288-1616
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EDLINE GROUP INCORPORATED is a community/retail pharmacy pharmacy in Dorchester, MA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. EDLINE GROUP INCORPORATED NPI is 1558443341. The provider is registered as an organization entity type.
The provider Is Doing Business As Compton Drug.

The provider's business location address is:

393 COLUMBIA RD
DORCHESTER, MA
ZIP 02125-415
Phone: (617) 288-1616
Fax: (617) 506-6003

The provider's authorized official is Edward Obi .
The authorized official title is Owner and has the following contact phone number (617) 288-1616.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 12/16/2010.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy3325MASSACHUSETTSYes

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
15330040001MEDICARE NSC
22227812OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
30406350MEDICAIDMASSACHUSETTS

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: 4/28/2024

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