Rachel Baum

Individual provider Active NPI Pharmacist · Chatham, MA

NPI 1750003414 · NPPES record last updated Sep 19, 2022

Key facts

NPI
1750003414
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH239863 (MA)
Practice address
12 Queen Anne Rd
Chatham, MA 02633-1859
Phone
(508) 945-4340
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PH239863MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past
since Sep 25, 2022
Accepting new patients
CVS Pharmacy Inc Past
since Sep 25, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH239863 MA Yes

Addresses

Primary practice location

12 Queen Anne Rd
Chatham, MA 02633-1859

Mailing address

300 Buck Island Rd
West Yarmouth, MA 02673-2590

Other providers in Chatham, MA

All providers in Chatham, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.