Active NPI
Lina Matta, PHARMD, MPH
- Pharmacotherapy Pharmacist
- Boston, MA
National Provider Identifier
1376994624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH24637
- Practice address
- 75 Francis Street, Pharmacy Services- Tower L2
Brigham and Women's Hospital
Boston, MA 02115 - Phone
- (617) 275-1552
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH24637 | MA | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | PH24637 | MA |
Addresses
Primary practice location
75 Francis Street, Pharmacy Services- Tower L2
Brigham and Women's Hospital
Boston, MA 02115
Mailing address
75 Francis Street Brigham and Women's Hospital
Pharmacy Services- Tower L2
Boston, MA 02115
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 |
|---|---|---|---|
| PH24637 | MA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1376994624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET BRIGHAM AND WOMEN'S HOSPITAL",
"address_2": "PHARMACY SERVICES- TOWER L2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET, PHARMACY SERVICES- TOWER L2",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-275-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "LINA",
"credential": "PHARMD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "PH24637",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MA",
"license": "PH24637",
"primary": false
}
],
"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 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.