Active NPIIndividual provider

Mary Rose Maiullari, PHARMD

Pharmacist in Roxbury, Massachusetts

NPI Number1114574019
Practice location
55 Dimock St, Roxbury, MA 02119-1029
Fax
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Last updated
August 25, 2019

Mary Rose Maiullari is a Pharmacist based in Roxbury, MA. Mary Rose Maiullari practices in Roxbury, MA and has the professional credentials of PHARMD. The NPI Number for Mary Rose Maiullari is 1114574019 and holds a License No. PH239020 (MA). The current practice location address for Mary Rose Maiullari is 55 Dimock St, Roxbury, MA 02119-1029 and can be reached out via phone at 617-442-8800.

Provider Profile Details

NPI Number
1114574019
Provider Name
Mary Rose Maiullari
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
55 Dimock St, Roxbury, MA 02119-1029
Phone Number
617-442-8800
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Other Names
Maryrose Maiullari (Other Name)
Provider Enumeration Date
August 25, 2019
Last Update Date
August 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Dimock St
Roxbury, MA 02119-1029
Zip
02119-1029
Phone Number
617-442-8800
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
618 E Broadway
South Boston, MA 02127-1502
City
South Boston
State
MA
Zip
02127-1502
Phone Number
617-620-1894

License Information

License Number
PH239020
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Rose Maiullari, PHARMD?

The NPI number of Mary Rose Maiullari, PHARMD is 1114574019. It was assigned on August 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Mary Rose Maiullari, PHARMD?

Mary Rose Maiullari, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH239020.

Where does Mary Rose Maiullari, PHARMD practice?

The practice location is 55 Dimock St, Roxbury, MA 02119-1029. The office can be reached at 617-442-8800 (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 1114574019 directly on the NPPES registry website.

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