Active NPI
Seth Freedman, RPH
- Pharmacist
- Chestnut Hill, MA
National Provider Identifier
1093935124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3103
- Practice address
- 27 Westgate Rd Apt 1
Chestnut Hill, MA 02467-3405 - Phone
- (617) 469-5657
- NPI assigned
- Apr 30, 2007
- Last updated
- Jul 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3103 | NH | Primary |
| Pharmacist | 183500000X | PH23852 | MA |
Addresses
Primary practice location
27 Westgate Rd Apt 1
Chestnut Hill, MA 02467-3405
Mailing address
27 Westgate Rd Apt 1
Chestnut Hill, MA 02467-3405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH23852 | MA | MD | Pharmacist |
| 3103 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elysian Enterprises Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1093935124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WESTGATE RD APT 1",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WESTGATE RD APT 1",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673405",
"telephone_number": "617-469-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "SETH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3103",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH23852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.