John Tony Komry, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

PH234908 Issued in MA

Practice address

250 Pond St
Braintree, MA 02184-5351

Phone

(781) 801-2264

NPI assigned

Jul 21, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205561305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HANCOCK ST UNIT 213",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692123",
            "telephone_number": "781-801-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POND ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845351",
            "telephone_number": "781-801-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "781-801-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMRY",
        "first_name": "JOHN",
        "middle_name": "TONY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MA",
            "license": "PH234908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Rose Kilban, M.S., CCC-SLP
• John C. Kimble, DMD
• King Optical Co Inc
• Linda Wolf King, PT
• Sarah Kirchofer, ANP
• Sarah Kosian
• Meghan A Kostan, OTR
• Stephanie M Krotick, MSW LICSW BCD
• Ksa Wellness, Inc.
• Kali Jo Kuharevicz, M.S.ED., BCBA, LABA

• Geriatric Pharmacist in Braintree, MA
• Providers in Braintree, MA by specialty
• Geriatric Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.