Provider Demographics
NPI:1821548637
Name:OAKMONTSCRIPT LP
Entity Type:Organization
Organization Name:OAKMONTSCRIPT LP
Other - Org Name:OAKMONTSCRIPT.US
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHI-WEISER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD PHARMD
Authorized Official - Phone:781-229-7347
Mailing Address - Street 1:1500 DISTRICT AVE
Mailing Address - Street 2:SUITE 2120
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5069
Mailing Address - Country:US
Mailing Address - Phone:781-229-7347
Mailing Address - Fax:617-855-6233
Practice Address - Street 1:1500 DISTRICT AVE STE 2120
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5069
Practice Address - Country:US
Practice Address - Phone:781-229-7347
Practice Address - Fax:617-855-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336M0003X
MAMA0092875333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164529OtherPK