Active NPI
Kelsey Beth Sheehan, PHARMD, RPH
- Pharmacist
- Mattapan, MA
National Provider Identifier
1891206322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237797
- Practice address
- 1135 Morton St
Mattapan, MA 02126-2834 - Phone
- (617) 533-2400
- NPI assigned
- Oct 24, 2017
- 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 | PH237797 | MA | Primary |
Addresses
Primary practice location
1135 Morton St
Mattapan, MA 02126-2834
Mailing address
35 Orkney Rd Apt 12a
Brighton, MA 02135-7756
Phone (207) 393-7627
Other practice location 1
398 Neponset Ave
Dorchester, MA 02122-3134
Phone (617) 282-3200
Other practice location 2
250 Mount Vernon St
Dorchester, MA 02125-3120
Phone (617) 228-1140
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH237797 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891206322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ORKNEY RD APT 12A",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021357756",
"telephone_number": "207-393-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 MORTON ST",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262834",
"telephone_number": "617-533-2400"
}
],
"practiceLocations": [
{
"address_1": "398 Neponset Ave",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021223134",
"country_code": "US",
"telephone_number": "617-282-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Mount Vernon St",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021253120",
"country_code": "US",
"telephone_number": "617-228-1140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEEHAN",
"first_name": "KELSEY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.