Active NPI
Colleen Prinzivalli, PHARMD, BCPS, BCGP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Wakefield, MA
National Provider Identifier
1710112057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 27151
- Practice address
- 701 Edgewater Dr Ste 420
Wakefield, MA 01880-6243 - Phone
- (978) 307-6307
- NPI assigned
- May 15, 2009
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 27151 | MA | Primary |
Addresses
Primary practice location
701 Edgewater Dr Ste 420
Wakefield, MA 01880-6243
Mailing address
701 Edgewater Dr Ste 420
Wakefield, MA 01880-6243
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 |
|---|---|---|---|
| 27151 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1710112057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 EDGEWATER DR STE 420",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018806243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EDGEWATER DR STE 420",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018806243",
"telephone_number": "978-307-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZIVALLI",
"first_name": "COLLEEN",
"credential": "PHARMD, BCPS, BCGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "27151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.