Active NPI
Jessica A Otoo
- Pharmacist
- Dorchester, MA
National Provider Identifier
1891671434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH1001232
- Practice address
- 468 Blue Hill Ave
Dorchester, MA 02121-4308 - Phone
- (617) 427-7806
- NPI assigned
- Aug 11, 2025
- 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 | PH1001232 | MA | Primary |
Addresses
Primary practice location
468 Blue Hill Ave
Dorchester, MA 02121-4308
Mailing address
74 Adams St Apt 4
Waltham, MA 02453-4486
Phone (774) 502-5769
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 |
|---|---|---|---|
| PH1001232 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1891671434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 ADAMS ST APT 4",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024534486",
"telephone_number": "774-502-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021214308",
"telephone_number": "617-427-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTOO",
"first_name": "JESSICA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH1001232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.