Active NPI
Robert M Kidney
- Pharmacist
- Stoneham, MA
National Provider Identifier
1295017697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19913
- Practice address
- 225 Main St
Stoneham, MA 02180-1252 - Phone
- (781) 438-9208
- Fax
- (781) 438-4234
- NPI assigned
- Sep 13, 2011
- 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 | 19913 | MA | Primary |
Addresses
Primary practice location
225 Main St
Stoneham, MA 02180-1252
Mailing address
225 Main St
Stoneham, MA 02180-1252
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 |
|---|---|---|---|
| 19913 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1295017697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MAIN ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MAIN ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801252",
"telephone_number": "781-438-9208",
"fax_number": "781-438-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDNEY",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "19913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.