Individual provider Active NPI

Jeremy KW Spiewak, PHARMD, RPH, MSCS

  • Ambulatory Care Pharmacist
  • Burlington, MA
National Provider Identifier
1649881699
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
PH236926 Issued in MA
Practice address
67 S Bedford St
Burlington, MA 01803-5108
Phone
(508) 981-5373
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH236926 MA
Pharmacist 183500000X 5302415202 MI
Pharmacist 183500000X 033.0135009 VT
Pharmacist 183500000X PHCY-01545 NH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X CDTM10000083 MA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X MCS000162P MA
Ambulatory Care Pharmacist 1835P2201X PH236926 MA Primary

Addresses

Primary practice location

67 S Bedford St
Burlington, MA 01803-5108

Mailing address

32 Joseph Rd
Framingham, MA 01701-7642
Phone (508) 981-5373

Other practice location 1

32 Joseph Rd
Framingham, MA 01701-7642
Phone (508) 981-5373

Other practice location 2

41 Mall Rd
Burlington, MA 01805-0001
Phone (508) 810-6542

Other practice location 3

75 Kneeland St Fl 1
Boston, MA 02111-1901
Phone (617) 804-6767

Other practice location 4

50 Mall Rd
Burlington, MA 01803-4537
Phone (508) 810-6542

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302415202MIMDPharmacist
PHCY-01545NHMDPharmacist
033.0135009VTMDPharmacist
CDTM10000083MAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MCS000162PMAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH236926MAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1649881699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 JOSEPH RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017642",
            "telephone_number": "508-981-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S BEDFORD ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035108",
            "telephone_number": "508-981-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Joseph Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017017642",
            "country_code": "US",
            "telephone_number": "508-981-5373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "508-810-6542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Kneeland St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111901",
            "country_code": "US",
            "telephone_number": "617-804-6767",
            "fax_number": "781-205-1561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034537",
            "country_code": "US",
            "telephone_number": "508-810-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIEWAK",
        "first_name": "JEREMY",
        "middle_name": "KW",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH, MSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH236926",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302415202",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0135009",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-01545",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "CDTM10000083",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "MCS000162P",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MA",
            "license": "PH236926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.