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BOULEVARD PHARMACEUTICAL COMPOUNDING CENTER
NPI 1821139023
Pharmacy - Compounding Pharmacy in Worcester, MA

Active since February 09, 2007
149 SHREWSBURY ST, WORCESTER, MA 01604(508) 754-1791(508) 795-0813 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boulevard Pharmaceutical Compounding Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD PHARMACEUTICAL COMPOUNDING CENTER (NPI 1821139023) is a healthcare organization registered as a compounding pharmacy in Worcester, Massachusetts and active in the NPI registry since February 2007. The organization lists Khalid Boukhatem, Owner, as its authorized official.

NPPES Registry Identity

NPI1821139023
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameWORCESTER PHARMACY LLC
Location Address149 SHREWSBURY STWorcester, MA 01604-4637
Mailing Address149 Shrewsbury StWorcester, MA 01604-4637 · (508) 754-1791 · Fax (508) 795-0813
Phone(508) 754-1791
Fax(508) 795-0813
Organization SubpartNo
Authorized OfficialKhalid BoukhatemOwner · (617) 599-2793
Enumeration DateFebruary 9, 2007
Last NPPES UpdateSeptember 18, 2019
✔ NPI 1821139023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 2943 (MA)
149 SHREWSBURY ST, Worcester, MA 01604
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Other Names 1

Doing Business AsBoulevard Pharmaceutical Compounding Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., AvMed, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Worcester Pharmacy LLC's NPI number?

The NPI number for Worcester Pharmacy LLC is 1821139023. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Boulevard Pharmaceutical Compounding Center.

Where is Worcester Pharmacy LLC located?

Worcester Pharmacy LLC is located at 149 Shrewsbury St, Worcester, MA 01604. The listed phone number is (508) 754-1791.

What is Worcester Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Worcester Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., AvMed, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Alabama and 13 other insurers list Worcester Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Worcester Pharmacy LLC was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.