Active NPIIndividual provider

Olivia Etondi, PHARM D

Pharmacist in Medford, Massachusetts

NPI Number1184362204
Practice location
85 High St, Medford, MA 02155-3825
Fax
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Last updated
May 27, 2022

Olivia Etondi is a Pharmacist based in Medford, MA. Olivia Etondi practices in Medford, MA and has the professional credentials of PHARM D. The NPI Number for Olivia Etondi is 1184362204 and holds a License No. PH240046 (MA). The current practice location address for Olivia Etondi is 85 High St, Medford, MA 02155-3825 and can be reached out via phone at 781-396-4770.

Provider Profile Details

NPI Number
1184362204
Provider Name
Olivia Etondi
Credential
PHARM D
Provider Entity Type
Individual
Gender
Female
Address
85 High St, Medford, MA 02155-3825
Phone Number
781-396-4770
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2022
Last Update Date
May 27, 2022
Certification Date
May 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 High St
Medford, MA 02155-3825
Zip
02155-3825
Phone Number
781-396-4770
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
6 Aspen St Apt 1
Lynn, MA 01905-2869
City
Lynn
State
MA
Zip
01905-2869
Phone Number
678-467-2911

License Information

License Number (1)
PH240046
License State (1)
MA
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
240046
License State (2)
MA
Taxonomy (2)
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 Olivia Etondi, PHARM D?

The NPI number of Olivia Etondi, PHARM D is 1184362204. It was assigned on May 27, 2022 and is currently active in the NPPES registry.

What is the specialty of Olivia Etondi, PHARM D?

Olivia Etondi, PHARM D is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH240046.

Where does Olivia Etondi, PHARM D practice?

The practice location is 85 High St, Medford, MA 02155-3825. The office can be reached at 781-396-4770 (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 1184362204 directly on the NPPES registry website.

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