Healthcare Provider Details

I. General information

NPI: 1366250482
Provider Name (Legal Business Name): NEW ENGLAND PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 BEACON ST
BROOKLINE MA
02445-4505
US

IV. Provider business mailing address

1655 BEACON ST
BROOKLINE MA
02445-4505
US

V. Phone/Fax

Practice location:
  • Phone: 617-860-1080
  • Fax:
Mailing address:
  • Phone: 617-860-1080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SEPIDEH AMIRIFELI
Title or Position: MANAGER OF RECORD
Credential: PHARM-D
Phone: 617-595-8878