MGH CLINICAL TRIALS PHARMACY
NPI 1053776211
Pharmacy in Boston, MA

NPI Status: Active since December 15, 2015

Contact Information

55 FRUIT ST # GB005
MA GENERAL HOSPTITAL
BOSTON, MA
ZIP 02114
Phone: (617) 726-2515
Fax: (617) 724-5013

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  • Organization
  • Pharmacy
  • CLIA Number: 22D2296565
  • CLIA Cert. Type: Other - CLINICAL RESEARCH UNIT
  • CLIA Exp. Date: 01-01-2026

About MGH CLINICAL TRIALS PHARMACY

This page provides the complete NPI Profile along with additional information for Mgh Clinical Trials Pharmacy, a provider established in Boston, Massachusetts operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1053776211 assigned on December 2015. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Mgh Clinical Trials Pharmacy. The authorized official of this NPI record is Cheryl Reilly-trembaly (Manager)

NPI
1053776211
Provider Legal Name
THE HOSPITAL CORPORATION
Other Organization Name
MGH CLINICAL TRIALS PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
55 FRUIT ST # GB005 MA GENERAL HOSPTITAL BOSTON, MA 02114
Location Phone
(617) 726-2515
Location Fax
(617) 724-5013
Mailing Address
MA GENERAL HOSPTITAL 55 FRUIT STREET GB005 BOSTON, MA 02114
Mailing Phone
(617) 726-2515
Mailing Fax
(617) 724-5013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2015
Last Update Date
12-15-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0002XSuppliers

Pharmacy
Clinic Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL REILLY-TREMBALY

Authorized Official Title
MANAGER
Authorized Official Phone
(617) 724-7875

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2155934OTHER (01)PK

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2296565
Facility Type
Other - CLINICAL RESEARCH UNIT
Certificate Effective Date
January 02, 2024
Certificate Expiration Date
January 01, 2026
Laboratory Director
MARIA BEATRICE ALORA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mgh Clinical Trials Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053776211, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 7 + 1 + 2 + 2 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053776211.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053776211, enumerated as an "organization" on December 15, 2015.

The provider is located at 55 FRUIT ST # GB005 MA GENERAL HOSPTITAL BOSTON, MA 02114 and the phone number is (617) 726-2515.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.