Maverick Specialty Retail Pharmacy
NPI 1013621598ActiveOrganization· Pharmacy, Specialty Pharmacy· East Boston, MA
Pharmacy, Specialty Pharmacy in East Boston, Massachusetts, registered in NPPES in January 2023. The authorized official on file is Gregory Wilmot, President & Ceo.
Overview
| NPI | 1013621598 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2023 |
| Last updated in NPPES | Jan 10, 2023 |
| Certified by provider | Jan 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Specialty Pharmacy providers in East Boston
- 1457064388