Active NPI
Monica K. Briselli, RPH, CDM
- Pharmacist
- Norfolk, MA
National Provider Identifier
1104958131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20875
- Practice address
- 6 Old Colony Dr
Norfolk, MA 02056-1059 - Phone
- (508) 478-7514
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 20875 | MA | Primary |
Addresses
Primary practice location
6 Old Colony Dr
Norfolk, MA 02056-1059
Mailing address
6 Old Colony Dr
Norfolk, MA 02056-1059
Phone (508) 520-6723
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 |
|---|---|---|---|
| 20875 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104958131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 OLD COLONY DR",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561059",
"telephone_number": "508-520-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 OLD COLONY DR",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561059",
"telephone_number": "508-478-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISELLI",
"first_name": "MONICA",
"middle_name": "K.",
"name_prefix": "Mrs.",
"credential": "RPH, CDM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "20875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.