Active NPI
Courtney Cameron, PHARMD
- Ambulatory Care Pharmacist
- Boston, MA
National Provider Identifier
1245990290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PH240196
- Practice address
- 11 Melnea Cass Blvd
Boston, MA 02119-4401 - Phone
- (617) 638-5893
- NPI assigned
- Dec 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27401 | MD | |
| Ambulatory Care Pharmacist | 1835P2201X | PH240196 | MA | Primary |
Addresses
Primary practice location
11 Melnea Cass Blvd
Boston, MA 02119-4401
Mailing address
11 Melnea Cass Blvd
Boston, MA 02119-4401
Phone (617) 638-5893
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27401 | MD | MD | Pharmacist |
| PH240196 | MA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642896000000",
"number": "1245990290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MELNEA CASS BLVD",
"city": "BOSTON",
"state": "MA",
"postal_code": "021194401",
"telephone_number": "617-638-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MELNEA CASS BLVD",
"city": "BOSTON",
"state": "MA",
"postal_code": "021194401",
"telephone_number": "617-638-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "COURTNEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27401",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MA",
"license": "PH240196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.