Active NPI
Lisa Lourenco, PHARMD
- Pharmacist
- Randolph, MA
National Provider Identifier
1649552209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH25687
- Practice address
- 170 N Main St
Randolph, MA 02368-4629 - Phone
- (781) 963-7713
- Fax
- (781) 963-0838
- NPI assigned
- Sep 9, 2011
- 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 | PH25687 | MA | Primary |
Addresses
Primary practice location
170 N Main St
Randolph, MA 02368-4629
Mailing address
170 N Main St
Randolph, MA 02368-4629
Phone (781) 963-7713
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 |
|---|---|---|---|
| PH25687 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Interoperability endpoints
- llourenco99416@direct.bmc.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Pharmacy
- Randolph, MA
- NPI 1417962606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1649552209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684629",
"telephone_number": "781-963-7713",
"fax_number": "781-963-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684629",
"telephone_number": "781-963-7713",
"fax_number": "781-963-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOURENCO",
"first_name": "LISA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH25687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.