Individual provider Active NPI

Phinehas Mensah Fordjour

  • Pharmacist
  • Boston, MA
National Provider Identifier
1376438390
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH1001434 Issued in MA
Practice address
1035 Truman Hwy
Boston, MA 02136-3326
Phone
(617) 361-1811
NPI assigned
Jun 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1001434 MA Primary

Addresses

Primary practice location

1035 Truman Hwy
Boston, MA 02136-3326

Mailing address

33 Sophia Dr
Worcester, MA 01607-1814
Phone (774) 331-9934

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

LicenseStateTypeSpecialty
PH1001434MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1376438390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SOPHIA DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071814",
            "telephone_number": "774-331-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 TRUMAN HWY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021363326",
            "telephone_number": "617-361-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSAH FORDJOUR",
        "first_name": "PHINEHAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.