Active NPI
Sara Flynn Gosselin, PHARMD
- Pharmacist
- Boston, MA
National Provider Identifier
1558911248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234009
- Practice address
- 125 Parker Hill Ave
Boston, MA 02120 - Phone
- (617) 754-5041
- NPI assigned
- Sep 16, 2019
- 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 | PH234009 | MA | Primary |
Addresses
Primary practice location
125 Parker Hill Ave
Boston, MA 02120
Mailing address
615C Adams St
Dorchester, MA 02122-1936
Phone (413) 822-5282
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 |
|---|---|---|---|
| PH234009 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1558911248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615C ADAMS ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221936",
"telephone_number": "413-822-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02120",
"telephone_number": "617-754-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSELIN",
"first_name": "SARA",
"middle_name": "FLYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234009",
"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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.