Active NPI
Raied Dinno
- Pharmacist
- Auburndale, MA
National Provider Identifier
1417546409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH23387
- Practice address
- 2090 Comm Ave
Auburndale, MA 02466-1911 - Phone
- (617) 244-2794
- NPI assigned
- Jan 13, 2021
- Sex
- Male
- 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 | PH23387 | MA | Primary |
Addresses
Primary practice location
2090 Comm Ave
Auburndale, MA 02466-1911
Mailing address
50 Autumn Rd
Weston, MA 02493-2415
Phone (617) 645-5552
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 |
|---|---|---|---|
| PH23387 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1417546409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 AUTUMN RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024932415",
"telephone_number": "617-645-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 COMM AVE",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024661911",
"telephone_number": "617-244-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINNO",
"first_name": "RAIED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH23387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.