Active NPI
Austin Anthony Puza, PHARM.D.
- Pharmacist
- Dorchester, MA
National Provider Identifier
1285347583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237650
- Practice address
- 757 Gallivan Blvd
Dorchester, MA 02122-3188 - Phone
- (617) 282-5246
- NPI assigned
- Jan 2, 2023
- 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 | PH237650 | MA | Primary |
Addresses
Primary practice location
757 Gallivan Blvd
Dorchester, MA 02122-3188
Mailing address
757 Gallivan Blvd Ste 3
Dorchester, MA 02122-3188
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 |
|---|---|---|---|
| PH237650 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Current | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Locations
757 Gallivan Blvd
Ste 3
Dorchester, MA 02122
Phone (617) 282-5246
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1285347583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 GALLIVAN BLVD STE 3",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 GALLIVAN BLVD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223188",
"telephone_number": "617-282-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUZA",
"first_name": "AUSTIN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.