Alexis R Bogannam, PHARMD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wakefield, Massachusetts
1508653692- Practice location
- 701 Edgewater Dr, Wakefield, MA 01880-6242
- Phone
- 978-307-6307
- Fax
- —
- Last updated
- April 22, 2025
Alexis Rose Bogannam is a Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Wakefield, MA. Alexis Rose Bogannam practices in Wakefield, MA and has the professional credentials of PHARMD. The NPI Number for Alexis Rose Bogannam is 1508653692 and holds a License No. PH241171 (MA). The current practice location address for Alexis Rose Bogannam is 701 Edgewater Dr, Wakefield, MA 01880-6242 and can be reached out via phone at 978-307-6307.
Provider Profile Details
- NPI Number
- 1508653692
- Provider Name
- Alexis Rose Bogannam
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 701 Edgewater Dr, Wakefield, MA 01880-6242
- Phone Number
- 978-307-6307
- Primary Taxonomy
- Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · 1835P0018X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2025
- Last Update Date
- April 22, 2025
- Certification Date
- April 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 Edgewater Dr
Wakefield, MA 01880-6242 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-6242
- Phone Number
- 978-307-6307
Provider Business Mailing Address Details
- Address
- 701 Edgewater Dr
Wakefield, MA 01880-6242 - City
- Wakefield
- State
- MA
- Zip
- 01880-6242
- Phone Number
- 978-307-6307
- Fax Number
- 631-255-9141
License Information
- License Number
- PH241171
- License State
- MA
- Taxonomy
- Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · 1835P0018X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialists near Wakefield, MA
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Frequently Asked Questions
What is the NPI number of Alexis R Bogannam, PHARMD?
The NPI number of Alexis R Bogannam, PHARMD is 1508653692. It was assigned on April 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Alexis R Bogannam, PHARMD?
Alexis R Bogannam, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (code 1835P0018X), licensed in MA under license number PH241171.
Where does Alexis R Bogannam, PHARMD practice?
The practice location is 701 Edgewater Dr, Wakefield, MA 01880-6242. The office can be reached at 978-307-6307 (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 1508653692 directly on the NPPES registry website.