Patrick Evans Paul

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH235360 Issued in MA

Practice address

1377 Hyde Park Ave
Hyde Park, MA 02136-2752

Phone

(617) 364-3161

NPI assigned

Mar 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shaws Supermarkets Inc

  • Community/Retail Pharmacy
  • Hyde Park, MA
  • NPI 1669428223
  NPD (past)
• Shaws Supermarkets Inc

  • Community/Retail Pharmacy
  • Ludlow, VT
  • NPI 1255182622
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1225490485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GLENCLIFF RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314908",
            "telephone_number": "617-840-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362752",
            "telephone_number": "617-364-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "PATRICK",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH235360",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Place LLC
• Ryan Park, DMD
• Parkwell Healthcare LLC
• Gunjanbhai Rameshbhai Patel, DMD
• Marie Auxiliatrice Paul
• Gerda Paulissaint
• Vanessa Pereira
• Elaines Jacqueline Perez
• Personalized Interventions
• Pierce Dental Associates,Inc

• Pharmacist in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.