Village Pharmacy

LBN: Village Fertility Pharmacy, Llc
Village Pharmacy is an health care organization with primary practice located at 335 Bear Hill Rd , Waltham MA 02451-1006. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Village Fertility Pharmacy, Llc can be contacted via phone (877) 334-1610, or through Barry, Jodi via phone (781) 810-4147.

Contact Information

Primary practice address
335 Bear Hill Rd Waltham MA 02451-1006
Fax: (877) 334-1602
Website:
Authorized official contact:
Name: Barry, Jodi

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X DS90059 Massachusetts
Suppliers / Compounding Pharmacy 3336C0004X DS90059 Massachusetts
Suppliers / Specialty Pharmacy 3336S0011X DS90059 Massachusetts

Profile Details

NPI number 1225182595
LBN Legal business name Village Fertility Pharmacy, Llc
DBA Doing business as Village Pharmacy
Authorized official Barry, Jodi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 4th, 2019 - about 7 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 1225182595 NPPES
Massachusetts MEDICAID 110119927A

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