DR. JEREMY KW SPIEWAK (NPI# 1649881699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649881699 |
| Entity Type | Individual |
| Full Name | DR. JEREMY KW SPIEWAK |
| Credential | PHARMD, MSCS |
| Practice Address |
24 Newton St Southborough MA 01772-1215 |
| Practice Telephone | 5084605323 |
| Practice Fax Number | 5084605327 |
| Mailing Telephone | 5084605323 |
| Mailing Fax Number | 5084605327 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH236926 | MA | Pharmacy Service Providers |
| Street Address |
24 NEWTON ST |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094788 | Mark Finno, Md PC | Physical Medicine & Rehabilitation | 24 Newton St, Southborough, MA 01772-1215 | 2005-09-26 |
| 1437794716 | Reliant Medical Group, Inc | Optometrist | 24 Newton St, Southborough, MA 01772-1215 | 2019-11-11 |
| 1427516004 | Fnu Jomymerlythomas | Physical Therapist | 24 Newton St, Southborough, MA 01772-1215 | 2019-03-04 |
| 1629558960 | Amanda N Griffin | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2018-08-16 |
| 1700322674 | Rosalind Gendreau | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2017-01-16 |
| 1932584950 | Christine Ditullio | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2015-07-21 |
| 1891175113 | Elizabeth Ann Minevich | Internal Medicine | 24 Newton St, Southborough, MA 01772-1215 | 2015-06-02 |
| 1164834750 | Southboro Medical Group, Inc | Specialist | 24 Newton St, Southborough, MA 01772-1215 | 2014-05-30 |
| 1588096754 | Shannon Leah Devlin | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2013-07-30 |
| 1407296106 | Sarah Loy Gifford | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| 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 |
|---|---|---|---|---|
| 1295234649 | Fozia Saeed-ali | Pharmacist | 155 Northboro Rd Ste 1, Southborough, MA 01772-1033 | 2018-02-12 |
| 1760735047 | Margarita Fursov | Pharmacist | 155 Northboro Rd, Southborough, MA 01772-1033 | 2012-10-23 |
| 1306484548 | Elizabeth Cardeal | Pharmacist | 155 Northboro Rd, Southborough, MA 01772-1033 | 2019-12-18 |
| 1427691120 | Richard Alfonso | Pharmacist | 155 Northboro Rd, Southborough, MA 01772-1033 | 2019-10-25 |
| 1447892492 | Melissa Ostrander | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2019-10-11 |
| 1053879601 | Minhchau Tran | Pharmacist | 155 Northboro Rd Ste 4, Southborough, MA 01772-1033 | 2019-03-03 |
| 1477018497 | Brian Thomas Mcgonigle | Pharmacist | 155 Northboro Rd, Southborough, MA 01772-1033 | 2019-02-04 |
| 1457839565 | Damian Bialonczyk | Pharmacist | 155 Northboro Rd, Southborough, MA 01772-1033 | 2018-07-31 |
| 1932687365 | Mina Saied | Pharmacist | 155 Northboro Rd, Southborough, MA 01772-1033 | 2018-07-28 |
| 1669971941 | Katie Zheng | Pharmacist | 78 Turnpike Rd, Southborough, MA 01772-2137 | 2018-02-01 |
| Find all providers in SOUTHBOROUGH | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
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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.