Active NPI
Jennifer Boutchie, RPH
- Pharmacist
- Danvers, MA
National Provider Identifier
1134722184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH25430
- Practice address
- 139 Endicott St
Danvers, MA 01923-4803 - Phone
- (978) 646-8930
- NPI assigned
- Nov 20, 2020
- Last updated
- Nov 20, 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 | PH25430 | MA | Primary |
Addresses
Primary practice location
139 Endicott St
Danvers, MA 01923-4803
Mailing address
99 Jackman St
Georgetown, MA 01833-1206
Phone (508) 843-4687
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 |
|---|---|---|---|
| PH25430 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1134722184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JACKMAN ST",
"city": "GEORGETOWN",
"state": "MA",
"postal_code": "018331206",
"telephone_number": "508-843-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 ENDICOTT ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234803",
"telephone_number": "978-646-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTCHIE",
"first_name": "JENNIFER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH25430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.