DR. CHAICHARN LUANGKAMTHORN (NPI# 1114200821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114200821 |
| Entity Type | Individual |
| Full Name | DR. CHAICHARN LUANGKAMTHORN |
| Credential | PHARM.D. |
| Practice Address |
211 Alewife Brook Pkwy Cambridge Cambridge MA 02138-1101 |
| Practice Telephone | 6176616422 |
| Mailing Telephone | 6176616422 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 057607 | NY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 60940 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 033.0003767 | VT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH26780 | MA | Pharmacy Service Providers |
| Street Address |
211 ALEWIFE BROOK PKWY CAMBRIDGE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495379 | Kristen Ann Wynott Lipresti | Nurse Practitioner | 211 Alewife Brook Pkwy, Cambridge, MA 02138-1101 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046759 | Anna Lundberg | Pharmacist | 348 Franklin St Apt 4c, Cambridge, MA 02139-3163 | 2020-09-02 |
| 1710599436 | David Robert Podradchik | Pharmacist | 25 Carleton St # E23-196, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1790339521 | Erica Liu | Pharmacist | 80 Fawcett St, Cambridge, MA 02138-1145 | 2019-07-30 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1629451059 | Emily Jane Hein | Pharmacist | 701 S Dellwood, Cambridge, MN 55008-1920 | 2015-07-02 |
| 1043652605 | Stacy Lynn Fitzgerald | Pharmacist | 625 Massachusetts Avenue, Cambridge, MA 02139 | 2013-07-24 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1316213325 | Victoria Liu | Pharmacist | 1035 Cambridge St Ste 232331, Cambridge, MA 02141-1057 | 2012-03-25 |
| 1134417306 | Alexandra Polito | Pharmacist | 1035 Cambridge St Ste 23, Cambridge, MA 02141-1154 | 2011-07-21 |
| 1134431646 | Gregory Alan Herman | Pharmacist | 133 Elm St # 1, Cambridge, MA 02139-1405 | 2010-07-13 |
| Find all providers in CAMBRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.