Provider Demographics
NPI:1366250482
Name:NEW ENGLAND PHARMACY, LLC
Entity type:Organization
Organization Name:NEW ENGLAND PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF RECORD
Authorized Official - Prefix:
Authorized Official - First Name:SEPIDEH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRIFELI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM-D
Authorized Official - Phone:617-595-8878
Mailing Address - Street 1:1655 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4505
Mailing Address - Country:US
Mailing Address - Phone:617-860-1080
Mailing Address - Fax:
Practice Address - Street 1:1655 BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4505
Practice Address - Country:US
Practice Address - Phone:617-860-1080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy