Active NPI
Andrew J. Cournoyer, R.PH., M.B.A.
- Pharmacist
- Cambridge, MA
National Provider Identifier
1275749616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24092
- Practice address
- 55 Cambridge Pkwy
Suite 300E
Cambridge, MA 02142-1234 - Phone
- (617) 299-3000
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24092 | MA | Primary |
Addresses
Primary practice location
55 Cambridge Pkwy
Suite 300E
Cambridge, MA 02142-1234
Mailing address
14 Old Barge Rd
Simsbury, CT 06070-1741
Phone (860) 431-5136
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24092 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1275749616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 OLD BARGE RD",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701741",
"telephone_number": "860-431-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CAMBRIDGE PKWY",
"address_2": "SUITE 300E",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421234",
"telephone_number": "617-299-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURNOYER",
"first_name": "ANDREW",
"middle_name": "J.",
"credential": "R.PH., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "24092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.