Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Charles River Community Health Center

Community/Retail Pharmacy in Waltham, MA · enumerated 2012 · authorized official Matthew Lockwood Mullaney, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639445034

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Charles River Community Health Center

Other name <Unavail>

Practice address 43 Foundry Ave Ste 110, Waltham, MA, 02453

Phone (781) 693-3873

Fax (781) 693-3810

Enumeration date Mar 29, 2012

Last updated in NPPES Apr 14, 2026

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0002X Clinic Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License DS90057 (MA) Primary

Authorized official

Name Matthew Lockwood Mullaney

Title Ceo

Phone (617) 783-0500

Other identifiers

Identifier	Type	State	Issuer
2134273	Other	-	PK
10024306S	Medicaid	MA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Charles River Community Health Center?

Charles River Community Health Center is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Charles River Community Health, Inc Federally Qualified Health Center (FQHC) · Waltham, MA NPI 1750486106 Taylor Antonellis Family Nurse Practitioner · Waltham, MA NPI 1144957036

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-14.