Individual provider Active NPI

Marlene Almeida Gajewski, RPH

  • Pharmacist
  • Taunton, MA
National Provider Identifier
1447849880
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21307 Issued in MA
Practice address
350 Myles Standish Blvd Ste 104
Taunton, MA 02780-7387
Phone
(508) 577-6112
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03465 RI
Pharmacist 183500000X 21307 MA Primary

Addresses

Primary practice location

350 Myles Standish Blvd Ste 104
Taunton, MA 02780-7387

Mailing address

19 Osprey Dr
Berkley, MA 02779-2337
Phone (508) 617-1909

Other practice location 1

19 Osprey Dr
Berkley, MA 02779-2337
Phone (508) 577-6112

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marlene.gajewski@Pharmerica.com Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
21307MAMDPharmacist
03465RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1447849880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OSPREY DR",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027792337",
            "telephone_number": "508-617-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MYLES STANDISH BLVD STE 104",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027807387",
            "telephone_number": "508-577-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Osprey Dr",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MA",
            "postal_code": "027792337",
            "country_code": "US",
            "telephone_number": "508-577-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "MARLENE",
        "middle_name": "ALMEIDA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "03465",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "21307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marlene.gajewski@Pharmerica.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "350 Myles Standish Blvd Ste 104",
            "city": "Taunton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027807387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.