Active NPI
Mohsen Alirezaei
- Pharmacist
- Waltham, MA
National Provider Identifier
1538034038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH24432
- Practice address
- 220 Warren St
Waltham, MA 02453-6713 - Phone
- (617) 407-7374
- NPI assigned
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH24432 | MA | Primary |
Addresses
Primary practice location
220 Warren St
Waltham, MA 02453-6713
Mailing address
220 Warren St
Waltham, MA 02453-6713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH24432 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1538034038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WARREN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024536713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WARREN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024536713",
"telephone_number": "617-407-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIREZAEI",
"first_name": "MOHSEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-24",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.