Mackenzie Rae Bain, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH240364 Issued in MA

Practice address

189 Watertown St
Watertown, MA 02472-2571

Phone

(617) 332-5528

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2022.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1295450385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 EMERALD WAY",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028572858",
            "telephone_number": "401-793-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722571",
            "telephone_number": "617-332-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "MACKENZIE",
        "middle_name": "RAE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mbain18",
            "affiliation": "N",
            "endpointDescription": "username",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "189 Watertown St",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024722571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Casey Marie Pettit Babcock
• Joshua J. Bachand, DPT
• Erik Baghdasaryan, BSBA
• Meredith Bagley, PT, DPT
• Stephen Baillargeon
• Sana Banday, D.M.D
• Wesley Ryan Barnhart, PHD
• Farah Anwar Barnouti
• Barry J Agranat DMP PC
• Scott Patrick Barry

• All providers in Watertown, MA
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.