Active NPI
Kelly Robin Macdonald, PHARMD.
- Pharmacist
- West Roxbury, MA
National Provider Identifier
1538331392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27106
- Practice address
- 75 Spring St
West Roxbury, MA 02132-4335 - Phone
- (617) 732-9360
- NPI assigned
- Apr 1, 2008
- Last updated
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 27106 | MA | Primary |
Addresses
Primary practice location
75 Spring St
West Roxbury, MA 02132-4335
Mailing address
111 Main St
Norfolk, MA 02056-1416
Phone (508) 440-5711
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 |
|---|---|---|---|
| 27106 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1538331392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MAIN ST",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561416",
"telephone_number": "508-440-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SPRING ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324335",
"telephone_number": "617-732-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "KELLY",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "27106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.