Individual provider Active NPI

Patrick John Skeffington, PHARMD

  • Pharmacotherapy Pharmacist
  • Somerville, MA
National Provider Identifier
1629288287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
165237 Issued in MA
Practice address
120 Beacon St
Suite 202 Pharmacy Administration
Somerville, MA 02143-4370
Phone
(617) 499-8314
Fax
(617) 499-8387
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 165237 MA Primary

Addresses

Primary practice location

120 Beacon St
Suite 202 Pharmacy Administration
Somerville, MA 02143-4370

Mailing address

PO Box 562
South Sutton, NH 03273-0562
Phone (603) 867-5968

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

LicenseStateTypeSpecialty
165237MAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629288287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "SOUTH SUTTON",
            "state": "NH",
            "postal_code": "032730562",
            "telephone_number": "603-867-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BEACON ST",
            "address_2": "SUITE 202 PHARMACY ADMINISTRATION",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434370",
            "telephone_number": "617-499-8314",
            "fax_number": "617-499-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEFFINGTON",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MA",
            "license": "165237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.