Individual provider Active NPI

Kelsey Beth Sheehan, PHARMD, RPH

  • Pharmacist
  • Mattapan, MA
National Provider Identifier
1891206322
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH237797 Issued in MA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH237797MAMDPharmacist

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.

Verify at the official NPI Registry.