Dr. Carlyssa Medwin, PHARMD
Pharmacist in East Boston, Massachusetts
1093621492- Practice location
- 20 Maverick Sq, East Boston, MA 02128-2335
- Phone
- 617-455-7784
- Fax
- —
- Last updated
- August 24, 2026
Carlyssa Medwin is a Pharmacist based in East Boston, MA. Carlyssa Medwin practices in East Boston, MA and has the professional credentials of PHARMD. The NPI Number for Carlyssa Medwin is 1093621492 and holds a License No. PH1003766 (MA). The current practice location address for Carlyssa Medwin is 20 Maverick Sq, East Boston, MA 02128-2335 and can be reached out via phone at 617-455-7784.
Provider Profile Details
- NPI Number
- 1093621492
- Provider Name
- Carlyssa Medwin
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Maverick Sq, East Boston, MA 02128-2335
- Phone Number
- 617-455-7784
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 24, 2026
- Last Update Date
- August 24, 2026
- Certification Date
- August 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Maverick Sq
East Boston, MA 02128-2335 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-2335
- Phone Number
- 617-455-7784
Provider Business Mailing Address Details
- Address
- 20 Maverick Sq
East Boston, MA 02128-2335 - City
- East Boston
- State
- MA
- Zip
- 02128-2335
License Information
- License Number
- PH1003766
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near East Boston, MA
View all Pharmacists in East Boston →Frequently Asked Questions
What is the NPI number of Dr. Carlyssa Medwin, PHARMD?
The NPI number of Dr. Carlyssa Medwin, PHARMD is 1093621492. It was assigned on August 24, 2026 and is currently active in the NPPES registry.
What is the specialty of Dr. Carlyssa Medwin, PHARMD?
Dr. Carlyssa Medwin, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH1003766.
Where does Dr. Carlyssa Medwin, PHARMD practice?
The practice location is 20 Maverick Sq, East Boston, MA 02128-2335. The office can be reached at 617-455-7784 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093621492 directly on the NPPES registry website.