Provider Demographics
NPI:1861551699
Name:I AND H INC
Entity type:Organization
Organization Name:I AND H INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:EGESIONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-427-8950
Mailing Address - Street 1:2121 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-2086
Mailing Address - Country:US
Mailing Address - Phone:617-427-8950
Mailing Address - Fax:617-445-0840
Practice Address - Street 1:2121 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-2086
Practice Address - Country:US
Practice Address - Phone:617-427-8950
Practice Address - Fax:617-445-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MA28043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0446718Medicaid
MA5231880001Medicare NSC