Active NPI
Kathleen L. Golden, RPH
- Pharmacist
- South Boston, MA
National Provider Identifier
1013220243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17426
- Practice address
- 710 East Broadway
South Boston, MA 02127 - Phone
- (617) 296-5788
- Fax
- (617) 269-4462
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17426 | MA | Primary |
Addresses
Primary practice location
710 East Broadway
South Boston, MA 02127
Mailing address
710 East Broadway
South Boston, MA 02127
Phone (617) 296-5788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1013220243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 EAST BROADWAY",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "02127",
"telephone_number": "617-296-5788",
"fax_number": "617-269-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EAST BROADWAY",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "02127",
"telephone_number": "617-296-5788",
"fax_number": "617-269-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "KATHLEEN",
"middle_name": "L.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "17426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.