Kimmy Pharmacy

LBN: Kimmy Pharmacy
Kimmy Pharmacy is an health care organization with primary practice located at 1435 Dorchester Ave , Dorchester MA 02122-2915. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Kimmy Pharmacy can be contacted via phone (617) 288-8199, or through Tran, Tuan via phone (617) 288-8199.

Contact Information

Primary practice address
1435 Dorchester Ave Dorchester MA 02122-2915
Phone: (617) 288-8199
Fax: (617) 288-8191
Website:
Map and Directions
Authorized official contact:
Name: Tran, Tuan RPH
Phone: (617) 288-8199

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1888 Massachusetts
Suppliers / Community/Retail Pharmacy 3336C0003X 1888 Massachusetts

Profile Details

NPI number 1538215231
LBN Legal business name Kimmy Pharmacy
DBA Doing business as
Authorized official Tran, Tuan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 22nd, 2020 - about 6 years 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 1538215231 NPPES
Massachusetts MEDICAID 0437239

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