Individual provider Active NPI

Dayana Pimentel-Dominguez, PHARMD, BCPS

  • Pharmacotherapy Pharmacist
  • Boston, MA
National Provider Identifier
1538079785
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PH1000612 Issued in MA
Practice address
20 Maverick SQ
Boston, MA 02128-2335
Phone
(617) 568-4781
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X PH1000612 MA Primary

Addresses

Primary practice location

20 Maverick SQ
Boston, MA 02128-2335

Mailing address

20 Maverick SQ
Boston, MA 02128-2335
Phone (617) 568-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1538079785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAVERICK SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021282335",
            "telephone_number": "617-568-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAVERICK SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021282335",
            "telephone_number": "617-568-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL-DOMINGUEZ",
        "first_name": "DAYANA",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MA",
            "license": "PH1000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.