Anne Marie Kilcoyne
Individual provider Active NPI Pharmacist · Clinton, MA
NPI 1487258604 · NPPES record last updated Nov 29, 2020
Key facts
- NPI
- 1487258604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23082 (MA)
- Practice address
- 792 Main St
Clinton, MA 01510-1608 - Phone
- (978) 368-7631
- NPI assigned
- Nov 29, 2020
- 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 |
|---|---|---|---|
| 23082 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23082 | MA | Yes |
Addresses
Primary practice location
792 Main St
Clinton, MA 01510-1608
Mailing address
792 Main St
Clinton, MA 01510-1608
Other providers in Clinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2020. 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.