Martine Ferullo, PHARM D
Individual provider Active NPI Pharmacist · Boylston, MA
NPI 1780966150 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1780966150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24699 (MA)
- Practice address
- 14 Pleasant LN
Boylston, MA 01505-1547 - Phone
- (508) 869-0462
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24699 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24699 | MA | Yes |
| Geriatric Pharmacist | 1835G0303X | 24699 | MA |
Addresses
Primary practice location
14 Pleasant LN
Boylston, MA 01505-1547
Mailing address
14 Pleasant LN
Boylston, MA 01505-1547
Phone (508) 869-0462
Other names
- Dr. Martha Ferullo
Other providers in Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.