CHAIYAPRUK PHANTUMVANIT (NPI# 1396355814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396355814 |
| Entity Type | Individual |
| Full Name | CHAIYAPRUK PHANTUMVANIT |
| Credential | PHARMD. |
| Practice Address |
450 Brookline Ave Boston MA 02215-5450 |
| Practice Telephone | 6176324454 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH26893 | MA | Pharmacy Service Providers |
| Street Address |
450 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172149 | Osama E. Rahma | Internal Medicine | 450 Brookline Ave, Dana-farber Cancer Institute, Boston, MA 02215-5418 | 2005-08-31 |
| 1508472465 | Joanna Mercado | Genetic Counselor, MS | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-09-16 |
| 1588277917 | Gertrude Andre | Registered Nurse | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-25 |
| 1689284465 | Jennifer Anne Falb | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-05 |
| 1245840628 | Kathrine Fleming | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-07-31 |
| 1205454642 | Arianna Gabriella Maida | Physician Assistant | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-07-13 |
| 1326663964 | Tsz-yi Wendy Chen | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-06-09 |
| 1891315354 | Sarah Studley | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-24 |
| 1447889902 | Jessie Margaret Brain | Student in an Organized Health Care Education/Training Program | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-06 |
| 1932735818 | Houry Leblebjian | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| 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 |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1356978217 | Andrew Martin | Pharmacist | 800 Washington St # 420, Boston, MA 02111-1552 | 2020-03-23 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1730534256 | Lisa St. Arnaud | Pharmacist | 125 Nashua St Fl 4, Boston, MA 02114-1100 | 2016-05-03 |
| 1326412636 | Jana Murry | Pharmacist | 18 Haviland St, 49, Boston, MA 02115-2605 | 2015-11-24 |
| 1245611151 | Target Pharmacy | Pharmacist | 8 Saint Casimir St, Boston, MA 02127-2121 | 2015-06-16 |
| 1790165132 | Basel Karzoun | Pharmacist | 8 Worthington St, Boston, MA 02120-1605 | 2015-06-01 |
| 1003201757 | Yousef Asaad | Pharmacist | 21-23 Stanhope St, Boston, MA 02116 | 2015-03-31 |
| 1285039883 | Justin John Thomas | Pharmacist | 429 Brookline Ave., Boston, MA 02215 | 2014-10-27 |
| Find all providers in BOSTON | ||||
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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.