Active NPI
Andrew Robert Krevat
- Pharmacotherapy Pharmacist
- West Roxbury, MA
National Provider Identifier
1235654864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH237392
- Practice address
- 1400 VFW Pkwy
West Roxbury, MA 02132-4927 - Phone
- (857) 203-5220
- NPI assigned
- Aug 4, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH237392 | MA | Primary |
Addresses
Primary practice location
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Mailing address
150 S Huntington Ave
Boston, MA 02130-4817
Other practice location 1
150 S Huntington Ave
Boston, MA 02130-4817
Phone (617) 962-4217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH237392 | Other | MA | MA DEPARTMENT OF PUBLIC HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH237392 | MA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1235654864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021304817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "857-203-5220"
}
],
"practiceLocations": [
{
"address_1": "150 S Huntington Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021304817",
"country_code": "US",
"telephone_number": "617-962-4217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREVAT",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "PH237392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA DEPARTMENT OF PUBLIC HEALTH",
"identifier": "PH237392",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.