Individual provider Active NPI

Anja Shaughnessey, PHARM.D.

  • Pharmacist
  • Watertown, MA
National Provider Identifier
1497972681
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25490 Issued in MA
Practice address
705 Mount Auburn St
Tufts Health Plan Pharmacy Services Ms 63
Watertown, MA 02472-1508
Phone
(617) 972-9411
Fax
(617) 972-9543
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25490 MA Primary
Pharmacist 183500000X 3328 NH

Addresses

Primary practice location

705 Mount Auburn St
Tufts Health Plan Pharmacy Services Ms 63
Watertown, MA 02472-1508

Mailing address

705 Mount Auburn St
Clinical Pharmacy Services Ms 63
Watertown, MA 02472-1508
Phone (617) 972-9411

Other names 1

  • Dr. Anja Maria Shaughnessey Other name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
25490MAMDPharmacist
3328NHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1497972681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MOUNT AUBURN ST",
            "address_2": "CLINICAL PHARMACY SERVICES MS 63",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721508",
            "telephone_number": "617-972-9411",
            "fax_number": "617-972-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MOUNT AUBURN ST",
            "address_2": "TUFTS HEALTH PLAN PHARMACY SERVICES MS 63",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721508",
            "telephone_number": "617-972-9411",
            "fax_number": "617-972-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGHNESSEY",
        "first_name": "ANJA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "25490",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJA",
            "last_name": "SHAUGHNESSEY",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.