MAGIE PHAM (NPI# 1730604042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730604042 |
| Entity Type | Individual |
| Full Name | MAGIE PHAM |
| Credential | PHARMD |
| Practice Address |
1249 Boylston St Boston MA 02215-3417 |
| Practice Telephone | (617) 264-3000 |
| Practice Fax Number | 6172643011 |
| Mailing Telephone | 6172643000 |
| Mailing Fax Number | 6172643011 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| 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 |
PH237508 | MA | Pharmacy Service Providers |
| Street Address |
1249 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882267 | George E Vaillant | Psychiatry & Neurology | 1249 Boylston St, 3rd Floor, Boston, MA 02215-3410 | 2006-02-27 |
| 1942835830 | Malerie Fiedler | Pharmacist | 1249 Boylston St, Boston, MA 02215-3417 | 2020-03-11 |
| 1265099477 | Christina Kathleen Palazzo | Pharmacist | 1249 Boylston St, Boston, MA 02215-3417 | 2019-05-22 |
| 1548714405 | Marissa Testa | Pharmacist | 1249 Boylston St, Boston, MA 02215-3417 | 2016-08-09 |
| 1093184038 | Michael Chan | Pharmacist | 1249 Boylston St, Boston, MA 02215-3417 | 2015-09-21 |
| 1720462112 | Michelle An | Pharmacist | 1249 Boylston St, Rm 328, Boston, MA 02215-3417 | 2015-07-15 |
| 1023452927 | Sarra Ben Ghorbal | Pharmacist | 1249 Boylston St, Boston, MA 02215-3417 | 2013-04-22 |
| 1528319522 | Amy Ann Levesque | Pharmacist | 1249 Boylston St, Suite 328, Boston, MA 02215-3417 | 2012-10-01 |
| 1629324363 | Nicole J Vincze Irving | Pharmacist | 1249 Boylston St, 3rd Floor, Boston, MA 02215 | 2012-07-31 |
| 1356639108 | Meina Quan | Student in an Organized Health Care Education/Training Program | 1249 Boylston St, Boston, MA 02215-3417 | 2011-07-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1376193581 | Andrew Swanner | Pharmacist | 250 W 5th St Apt 3, Boston, MA 02127-4604 | 2019-09-19 |
| 1487183380 | Benjamin Laliberte | Pharmacist | 55 Fruit St # St-005, Boston, MA 02114-2621 | 2017-06-06 |
| 1184241325 | Meissane Benbrahim | Pharmacist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-07-04 |
| 1114553484 | Dhara Shah | Pharmacist | 300 Longwood Ave, Department of Pharmacy, Boston, MA 02115 | 2020-03-19 |
| 1720614902 | Connie Hoi Lio | Pharmacist | 1153 Centre St, Boston, MA 02130-3446 | 2020-03-19 |
| 1619529807 | Beata Maria Rucinski | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5450 | 2019-07-09 |
| 1487131447 | Jacqueline Chrones | Pharmacist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2018-07-23 |
| 1720462112 | Michelle An | Pharmacist | 1249 Boylston St, Rm 328, Boston, MA 02215-3417 | 2015-07-15 |
| 1689067936 | Lynne Sylvia | Pharmacist | 800 Washington St, Pharmacy #420, Boston, MA 02111-1552 | 2015-03-11 |
| 1215327192 | Christin Marks | Pharmacist | 110 Francis St, 7th Floor - Transplant Institute, Boston, MA 02215-5501 | 2015-01-29 |
| 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.