Active NPI
Bryan J Gendron, PHARMD
- Pharmacist
- Boston, MA
National Provider Identifier
1700138773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236101
- Practice address
- 88 E Newton St
Boston, MA 02118-2308 - Phone
- (603) 759-7675
- NPI assigned
- Oct 15, 2012
- Sex
- Male
- 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 | PH236101 | MA | Primary |
Addresses
Primary practice location
88 E Newton St
Boston, MA 02118-2308
Mailing address
750 Tremont St
Apt B204
Boston, MA 02118-1149
Phone (603) 759-7675
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 |
|---|---|---|---|
| PH236101 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Interoperability endpoints
- bgendron87752@direct.bmc.masshiway.net
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1700138773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 TREMONT ST",
"address_2": "APT B204",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181149",
"telephone_number": "603-759-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 E NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182308",
"telephone_number": "603-759-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDRON",
"first_name": "BRYAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-15",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236101",
"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 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.