Active NPI
Laura Chadwick, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Boston, MA
National Provider Identifier
1508318650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH234797
- Practice address
- 300 Longwood Ave
Enders 324-328
Boston, MA 02115-5724 - Phone
- (857) 218-3527
- NPI assigned
- Oct 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH234797 | MA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH234797 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Enders 324-328
Boston, MA 02115-5724
Mailing address
179 Park St
Unit 404
Medford, MA 02155-3930
Phone (508) 942-2706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH234797 | Other | MA | MA BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH234797 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1508318650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 PARK ST",
"address_2": "UNIT 404",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553930",
"telephone_number": "508-942-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "ENDERS 324-328",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "857-218-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "LAURA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234797",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "PH234797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BOARD OF PHARMACY",
"identifier": "PH234797",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.