Frederick Nnaemeka Alamba, PHARMD, MBA, RPH
Individual provider Active NPI Pharmacist · Brockton, MA
NPI 1437669686 · NPPES record last updated May 11, 2019
Key facts
- NPI
- 1437669686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH237715 (MA)
- Practice address
- 90 Main St Unit a
Brockton, MA 02301-4011 - Phone
- (774) 517-5528
- Fax
- (774) 517-5568
- NPI assigned
- Oct 2, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH237715 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Pharmacy, LLC | Current | Accepting new patients |
Locations
90 Main St
Unit A
Brockton, MA 02301
Phone (774) 517-5528
90 Main St
Brockton, MA 02301
Phone (508) 580-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH237715 | MA | Yes |
Addresses
Primary practice location
90 Main St Unit a
Brockton, MA 02301-4011
Mailing address
90 Main St
Brockton, MA 02301-4011
Phone (774) 517-5528
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2019. 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.