ELISE WOLLENBERG
Pharmacist

Address: 177 Huntington Ave Ste 17, Boston, MA 02115-3156

ELISE WOLLENBERG (NPI# 1750974796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750974796
Entity Type Individual
Full Name DR. ELISE WOLLENBERG
Gender Female
Credential PHARMD, RPH
Practice Address 177 Huntington Ave Ste 17
Boston
MA 02115-3156
Practice Telephone 6177800386
Mailing Address 177 Huntington Ave Ste 17
Boston
MA 02115-3156
Certification Date 2021-01-11
Enumeration Date 2021-02-19
Last Update Date 2021-02-19
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 183500000X Pharmacist PH234087 MA Pharmacy Service Providers

Office Location

Street Address 177 HUNTINGTON AVE STE 17
City BOSTON
State MA
Zip Code 02115-3156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437740909 Elizabeth Katsman Pharmacist 177 Huntington Ave Ste 17, Boston, MA 02115-3156 2021-01-28
1346848272 Onsight Vision, LLC Eyewear Supplier 177 Huntington Ave Ste 1700, #7005, Boston, MA 02115-3165 2020-10-13
1922373885 Esther Kinuthia · Esther Kinuthia Specialist 177 Huntington Ave Ste 17003049, Boston, MA 02115-3134 2012-03-12
1225529266 True Valley Healthcare, LLC In Home Supportive Care 177 Huntington Ave Ste 1703, Boston, MA 02115-3153 2018-05-25

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1316532187 Mary Louise Gargan Student in an Organized Health Care Education/Training Program 75 Francis Street Brigham and Women's Hospital. Abdomin, Boston, MA 02115 2021-03-04
1720678592 Abdulrhman Aleisa Student in an Organized Health Care Education/Training Program 75 Francis Street, Boston, MA 02115 2021-01-25
1659961662 Shixiao He Student in an Organized Health Care Education/Training Program 75 Francis Street, Suite Bc-3-010, Boston, MA 02115 2021-01-23
1760083067 Tracy Ng Social Worker · Clinical 75 Francis Street, Care Continuum Management, Boston, MA 02115 2020-11-03
1275132078 Olivia Wilkins Student in an Organized Health Care Education/Training Program 360 Huntington Ave, 202 Robinson Hall Physician Assistant Program, Boston, MA 02115 2020-10-22
1629676960 Rose Ashraf Psychologist 300 Longwood Avenue, Outpatient Psychiatry Fegan 8, Boston, MA 02115 2020-10-09
1386241727 Vishal Ruparelia Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-10-08
1043817620 Kelly Cornelison Student in an Organized Health Care Education/Training Program 336 Huntington Ave, Boston, MA 02115 2020-10-06
1053918714 Meghan Patricia Ahearn Student in an Organized Health Care Education/Training Program 360 Huntington Avenue, 202 Robinson Hall, Boston, MA 02115 2020-10-06
1073110011 Crystal Rodriguez Student in an Organized Health Care Education/Training Program 360 Huntington Avenue, 202 Robinson Hall, Boston, MA 02115 2020-10-02
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174117451 Gretchen M Stern 75 Francis St Dept Of, Boston, MA 02115-6106 2021-02-26
1821681545 Danny Ko 256 Harrison Ave, Boston, MA 02111-1835 2021-02-12
1447842596 Ryan Kim 414 Boylston St, Boston, MA 02116-3801 2021-02-10
1063003853 Chimaobi Chukwu 278 Blue Hill Ave, St. 288, Boston, MA 02119 2021-02-03
1427649219 Leigh Omizo 587 Boylston St, Boston, MA 02116-3601 2021-02-03
1437740909 Elizabeth Katsman 177 Huntington Ave Ste 17, Boston, MA 02115-3156 2021-01-28
1962093567 Vanlang Ma 637 Washington St, Boston, MA 02124-3510 2021-01-27
1255920666 Daniel Greenfield 59 Charles St, Boston, MA 02114-4695 2021-01-12
1639768179 Kelly Quinn 191 Cambridge St, Boston, MA 02114-2793 2021-01-11
1770171803 Phallin Heang 55 Fruit St, Boston, MA 02114-2696 2021-01-05
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.