Active NPI
Lili T Mac, PHARMD
- Pharmacist
- Chestnut Hill, MA
National Provider Identifier
1790376432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH238393
- Practice address
- 647 VFW Pkwy
Chestnut Hill, MA 02467-3656 - Phone
- (617) 469-5264
- Fax
- (617) 325-9148
- NPI assigned
- Jan 26, 2021
- 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 | 183500000X | PH238393 | MA | Primary |
Addresses
Primary practice location
647 VFW Pkwy
Chestnut Hill, MA 02467-3656
Mailing address
647 VFW Pkwy
Chestnut Hill, MA 02467-3656
Phone (617) 469-5264
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 |
|---|---|---|---|
| PH238393 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1790376432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 VFW PKWY",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673656",
"telephone_number": "617-469-5264",
"fax_number": "617-325-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 VFW PKWY",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673656",
"telephone_number": "617-469-5264",
"fax_number": "617-325-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC",
"first_name": "LILI",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.