Individual provider Active NPI

Tarik Husejinovic

  • Pharmacist
  • Lynn, MA
National Provider Identifier
1053729392
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH235317 Issued in MA
Practice address
841 Western Ave
Lynn, MA 01905-2322
Phone
(781) 592-2248
Fax
(781) 592-2263
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH235317 MA Primary

Addresses

Primary practice location

841 Western Ave
Lynn, MA 01905-2322

Mailing address

841 Western Ave
Lynn, MA 01905-2322
Phone (781) 592-2248

Other practice location 1

317 Ferry St
Everett, MA 02149-5608
Phone (617) 389-2188

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

State licenses

LicenseStateTypeSpecialty
PH235317MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Eastern Co Inc PastSince Dec 28, 2022 Accepting new patients
Walgreen Eastern Co Inc PastSince Dec 28, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1053729392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 WESTERN AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052322",
            "telephone_number": "781-592-2248",
            "fax_number": "781-592-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 WESTERN AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052322",
            "telephone_number": "781-592-2248",
            "fax_number": "781-592-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Ferry St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "MA",
            "postal_code": "021495608",
            "country_code": "US",
            "telephone_number": "617-389-2188",
            "fax_number": "617-389-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSEJINOVIC",
        "first_name": "TARIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH235317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.