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CHARLES RIVER COMMUNITY HEALTH INC NPI 1891241816


NPI Information

NPI: 1891241816
Provider Name: CHARLES RIVER COMMUNITY HEALTH INC

Doing Business As: CHARLES RIVER COMMUNITY HEALTH

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
495 WESTERN AVE
BRIGHTON, MA
ZIP 02135
Phone: (617) 870-7448
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CHARLES RIVER COMMUNITY HEALTH INC is a community/retail pharmacy pharmacy in Brighton, 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. CHARLES RIVER COMMUNITY HEALTH INC NPI is 1891241816. The provider is registered as an organization entity type.
The provider Is Doing Business As Charles River Community Health.

The provider's business location address is:

495 WESTERN AVE
BRIGHTON, MA
ZIP 02135-007
Phone: (617) 870-7448
Fax: (617) 783-0523

The provider's authorized official is Hinal Patel .
The authorized official title is Pic, Ao and has the following contact phone number (617) 870-7448.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 9/21/2016.


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
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyDS90057MASSACHUSETTSYes

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
1110024306H/MAMEDICAIDMASSACHUSETTS
22163915OTHERPK

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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