Active NPI
Timothy Wai Hung Lam
- Pharmacist
- Southborough, MA
National Provider Identifier
1851836142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237137
- Practice address
- 155 Northboro Rd Ste 4
Southborough, MA 01772-1033 - Phone
- (508) 481-5800
- NPI assigned
- Dec 22, 2016
- Sex
- Male
- 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 | PH237137 | MA | Primary |
Addresses
Primary practice location
155 Northboro Rd Ste 4
Southborough, MA 01772-1033
Mailing address
535 Harrison Ave Apt A502
Boston, MA 02118-4419
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH237137 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare LTC of Ma LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Southborough, MA
- NPI 1932556438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1851836142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 HARRISON AVE APT A502",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 NORTHBORO RD STE 4",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721033",
"telephone_number": "508-481-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "TIMOTHY",
"middle_name": "WAI HUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-22",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.