Khadijat Ayinla
Individual provider Active NPI Pharmacist · Brookline, MA
NPI 1417670522 · NPPES record last updated Sep 22, 2022
Key facts
- NPI
- 1417670522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH240980 (MA)
- Practice address
- 294 Harvard St
Brookline, MA 02446-2917 - Phone
- (617) 731-6860
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH240980 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240980 | MA | Yes |
Addresses
Primary practice location
294 Harvard St
Brookline, MA 02446-2917
Mailing address
294 Harvard St
Brookline, MA 02446-2917
Other providers in Brookline, MA
- Laura H Aversa
- Nancy Carolyn Avery
- Aviva M. Katz, PH.D., LLC
- Heather Ayares
- Elvin Aydin Keles
- Haleh Azar
- Emily Bachmann
- Sharon Sara Bacigalupi
- Back Bay Allergy Associates LLC
- Back on Track, P.C.
All providers in Brookline, MA · Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.