Active NPI
Kelley Imfeld, PHARMD
- Pharmacist
- Everett, MA
National Provider Identifier
1114541950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH238223
- Practice address
- 2 Mystic View Rd
Everett, MA 02149-2428 - Phone
- (618) 544-4805
- NPI assigned
- Jun 6, 2020
- 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 | PH238223 | MA | Primary |
Addresses
Primary practice location
2 Mystic View Rd
Everett, MA 02149-2428
Mailing address
859 Broadway Apt 404
Saugus, MA 01906-3395
Phone (732) 832-1697
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH238223 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591401600000",
"number": "1114541950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 BROADWAY APT 404",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063395",
"telephone_number": "732-832-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MYSTIC VIEW RD",
"city": "EVERETT",
"state": "MA",
"postal_code": "021492428",
"telephone_number": "618-544-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMFELD",
"first_name": "KELLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-06",
"last_updated": "2020-06-06",
"certification_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.