Active NPI
Laura Maria Maalouly, PHARMACIST
- Pharmacist
- Newton, MA
National Provider Identifier
1306434790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237537
- Practice address
- 839 Washington St
Newton, MA 02460-1548 - Phone
- (617) 527-8930
- NPI assigned
- Jan 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PH237537 | MA | Primary |
Addresses
Primary practice location
839 Washington St
Newton, MA 02460-1548
Mailing address
839 Washington St
Newton, MA 02460-1548
Phone (617) 527-8930
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Newton | Other |
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 |
|---|---|---|---|
| PH237537 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Locations
839 Washington St
Newtonville, MA 02460
Phone (617) 527-8930
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.
-
- Pharmacy
- Newton, MA
- NPI 1932208386
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1306434790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601548",
"telephone_number": "617-527-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601548",
"telephone_number": "617-527-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAALOULY",
"first_name": "LAURA",
"middle_name": "MARIA",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-02",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237537",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Newton",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Newton",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Fax",
"address_1": "839 Washington St",
"city": "Newton",
"state": "MA",
"country_code": "US",
"postal_code": "024601548",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.