Active NPI
Themio JVC Papadopoulos, PHARMD
- Ambulatory Care Pharmacist
- Watertown, MA
National Provider Identifier
1346797974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PHCY-01338
- Practice address
- 1 Mount Auburn St
Watertown, MA 02472 - Phone
- (508) 245-5770
- NPI assigned
- Sep 1, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH236868 | MA | |
| Ambulatory Care Pharmacist | 1835P2201X | PH236868 | MA | |
| Ambulatory Care Pharmacist | 1835P2201X | PHCY-01338 | NH | Primary |
Addresses
Primary practice location
1 Mount Auburn St
Watertown, MA 02472
Mailing address
5082 Washington St Unit 1
West Roxbury, MA 02132-4764
Phone (508) 245-5770
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 |
|---|---|---|---|
| PH236868 | MA | MD | Pharmacist |
| PHCY-01338 | NH | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1346797974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5082 WASHINGTON ST UNIT 1",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324764",
"telephone_number": "508-245-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MOUNT AUBURN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "02472",
"telephone_number": "508-245-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADOPOULOS",
"first_name": "THEMIO",
"middle_name": "JVC",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2023-06-05",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236868",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MA",
"license": "PH236868",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NH",
"license": "PHCY-01338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.