Brian Walter Wolonsavich

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

22523 Issued in MA

Practice address

2 Technology Dr
Peabody, MA 01960-7907

Phone

(800) 552-4449

NPI assigned

Jan 20, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: brian.wolonsavich.p1@direct.elementcare.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1336739788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FERN ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151570",
            "telephone_number": "978-927-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TECHNOLOGY DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607907",
            "telephone_number": "800-552-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLONSAVICH",
        "first_name": "BRIAN",
        "middle_name": "WALTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "22523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Paig Wilson, OTR/L
• Catherine C. Winchester, PSY.D.
• Shawna L Winfrey, LICSW
• Rebecca Catherine Winslett, PA-C
• Caleb Wnorowski
• Woodlawn Leasing, Inc.
• Laurie E Woods, NP
• Kimberlee A Worth, LCSW
• Sarah Ashley Wroclawski, WHNP-BC, CNM
• Jason Cheng Wu, M.D.

• All providers in Peabody, MA
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.