Individual provider Active NPI

Marie Elena Toenniessen, PHARM.D., CPHT

  • Pharmacist
  • Forestdale, MA
National Provider Identifier
1154074995
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045092 Issued in NY
Practice address
40 Arnold Rd
Forestdale, MA 02644-1535
Phone
(339) 368-1578
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 045092 NY Primary

Addresses

Primary practice location

40 Arnold Rd
Forestdale, MA 02644-1535

Mailing address

40 Arnold Rd
Forestdale, MA 02644-1535
Phone (339) 368-1578

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

LicenseStateTypeSpecialty
045092NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1154074995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ARNOLD RD",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441535",
            "telephone_number": "339-368-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ARNOLD RD",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441535",
            "telephone_number": "339-368-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOENNIESSEN",
        "first_name": "MARIE",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestdale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.