OrganizationActive
Worcester Pharmacy LLC
NPI 1821139023 · Compounding Pharmacy · Worcester, MA
Worcester Pharmacy LLC is a Compounding Pharmacy organization in Worcester, MA (NPI 1821139023).
Provider details
- NPI number
- 1821139023
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Khalid Boukhatem, Owner(617) 599-2793
- License
- 2943 (MA)
Specialties & taxonomies
Suppliers
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
149 Shrewsbury St
Worcester, MA 01604-4637
Phone: (508) 754-1791
Fax: (508) 795-0813
Street-level locationGet directions
Mailing address
149 Shrewsbury St
Worcester, MA 01604-4637
Other names (DBA / former)
- Doing business as
- Boulevard Pharmaceutical Compounding Center
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2019-09-18
Frequently asked questions
- What is Worcester Pharmacy LLC's NPI number?
- Worcester Pharmacy LLC's National Provider Identifier (NPI) is 1821139023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Worcester Pharmacy LLC?
- Worcester Pharmacy LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Worcester Pharmacy LLC located?
- Worcester Pharmacy LLC's practice location on file with NPPES is 149 Shrewsbury St, Worcester, MA 01604-4637.
- What is Worcester Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Worcester Pharmacy LLC is (508) 754-1791.
- Who is the authorized official for Worcester Pharmacy LLC?
- The authorized official listed on Worcester Pharmacy LLC's NPPES record is Khalid Boukhatem, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Worcester Pharmacy LLC's NPI active?
- Yes — Worcester Pharmacy LLC's NPI (1821139023) is active in the NPPES registry as of the last update on 2019-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.