Oncomed Pharmaceutical Services of Ma, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

ONCOMED PHARMACEUTICAL SERVICES OF MA, LLC

Practice address

335 Bear Hill Rd Ste 2100
Waltham, MA 02451-1006

Phone

(877) 662-6633

Fax

(877) 662-6355

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Amy Konak

Title

VP, Revenue Cycle MGT

Phone

(877) 662-6633

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Onco360 Doing business as

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Onco Pharmaceutical Services of Ma LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Onco Pharmaceutical Services of Ma, LLC

  • Specialty Pharmacy
  • Waltham, MA
  • NPI 1538602511
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Rapid City, SD
  • NPI 1174556757

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1790013530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633",
            "fax_number": "502-849-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BEAR HILL RD STE 2100",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511006",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOMED PHARMACEUTICAL SERVICES OF MA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "KONAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE MGT",
        "authorized_official_telephone_number": "877-662-6633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "DS89702",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084520",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onco360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serena Ohanyan, PHARMD, RPH
• Tutu Okundaye
• Angel Olmo
• On Call Treatment, LLC
• Onco Pharmaceutical Services of Ma, LLC
• Oped, Inc.
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• Optum Palliative and Hospice Care, Inc.
• Kristina E Orio, D.O.
• Rabiatu Orlandimeje

• Specialty Pharmacy in Waltham, MA
• Providers in Waltham, MA by specialty
• Specialty Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.