BOUCHRA MISSOUM (NPI# 1295386274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295386274 |
| Entity Type | Individual |
| Full Name | BOUCHRA MISSOUM |
| Credential | PHARMD |
| Practice Address |
41 Burlington Mall Rd Burlington MA 01805-0001 |
| Mailing Address |
641 E 7th St Apt 2 Boston MA 02127-4227 |
| Practice Telephone | 7817442342 |
| Enumeration Date | 2019-09-22 |
| Last Update Date | 2019-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH238814 | MA | Pharmacy Service Providers |
| Street Address |
41 BURLINGTON MALL RD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538571997 | Jay Shah | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-3134 | 2014-05-20 |
| 1316564180 | Ana Patricia Saade Lemus | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2020-06-28 |
| 1245857184 | Victoria Strauss Valdes | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2020-06-26 |
| 1821615899 | Melissa Romero | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2020-06-25 |
| 1891334330 | Sydney Norton | Emergency Medicine | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2020-01-01 |
| 1366080947 | Ryan Martin | Dietitian, Registered | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2019-12-14 |
| 1700437779 | Kevin A Bitar | Pharmacist | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2019-09-21 |
| 1710547500 | Nichole Ann Rota | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2019-06-14 |
| 1720564412 | Patrick Warner | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805 | 2018-07-16 |
| 1043734544 | Kathryn Yildizyan | Social Worker | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780162990 | Carol Lowe Holmes | Pharmacist | 2479 South Church Street, Address Line 2, Burlington, NC 27215-2721 | 2018-07-31 |
| 1417932153 | Elaine Young Metzger | Pharmacist | 595 Shelburne Rd, Burlington, VT 05401 | 2005-12-14 |
| 1245862812 | Allison Marie Heffelfinger | Pharmacist | 3140 Agency St, Burlington, IA 52601-1977 | 2020-02-11 |
| 1356973408 | George Copenhaver | Pharmacist | 1751 Patrick Dr, Burlington, KY 41005-7345 | 2020-02-06 |
| 1437700424 | Leah Mangini | Pharmacist | 41 Mall Rd, Burlington, MA 01805-0001 | 2019-09-22 |
| 1700437779 | Kevin A Bitar | Pharmacist | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2019-09-21 |
| 1518469840 | Tara Kathleen Lech | Pharmacist | 31 Mall Rd, Burlington, MA 01805-0001 | 2018-03-02 |
| 1801304589 | Cynthia Marie Ottaviani | Pharmacist | 41 Mall Rd, Burlington, MA 01805-0001 | 2018-01-17 |
| 1710289566 | Pamela S. Sherry | Pharmacist | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419948 | Andrew Stein | Pharmacist | 401 Great Plain Ave, Needham, MA 02492-3735 | 2020-08-28 |
| 1356954010 | Hossein Monzavi | Pharmacist | 25 Carleton St Bldg E-23, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1750901419 | Tiffany Nicole Powers | Pharmacist | 96 Chestnut St, Foxborough, MA 02035-1444 | 2020-04-23 |
| 1538792270 | Collin O'neill | Pharmacist | 135 Pleasant St Apt 405, Brookline, MA 02446-7187 | 2020-02-21 |
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1376193581 | Andrew Swanner | Pharmacist | 250 W 5th St Apt 3, Boston, MA 02127-4604 | 2019-09-19 |
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1558843896 | Laura Elizabeth Martin | Pharmacist | 133 Old Rd 9 Acre Cor, Concord, MA 01742-4169 | 2018-09-04 |
| 1487183380 | Benjamin Laliberte | Pharmacist | 55 Fruit St # St-005, Boston, MA 02114-2621 | 2017-06-06 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.