Julie Yesu, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH238906 Issued in MA

Practice address

30 Belgrade Ave
Roslindale, MA 02131-3006

Phone

(617) 363-1717

Fax

(617) 323-8776

NPI assigned

Jan 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Sullivan'S Health Care, Inc

  • Long Term Care Pharmacy
  • Roslindale, MA
  • NPI 1487759577
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1982292504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HILLCREST AVE",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313006",
            "telephone_number": "617-363-1717",
            "fax_number": "617-323-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESU",
        "first_name": "JULIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH238906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406538",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Aie-Lan Wong, FNP-BC, RN
• Amelia Sylvia Woodley
• Mary Woodward, NP
• Kaela Yamini
• Amy Yeskie
• Kelsey Yoquinto, PSY.D.
• Benjamin Young, OD
• Laquita Young
• Rinchen Youtso, RDH
• Claire'S Youyou

• Pharmacist in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.