Active NPIIndividual providerSole proprietor

Dr. Diego Medina Jr., PHARMD

Pharmacist in Medford, Massachusetts

NPI Number1518213206
Practice location
590 Fellsway, Medford, MA 02155-4925
Fax
—
Last updated
July 10, 2023

Diego Medina is a Pharmacist based in Medford, MA. Diego Medina practices in Medford, MA and has the professional credentials of PHARMD. The NPI Number for Diego Medina is 1518213206 and holds a License No. PH241523 (MA). The current practice location address for Diego Medina is 590 Fellsway, Medford, MA 02155-4925 and can be reached out via phone at 781-391-2668.

Provider Profile Details

NPI Number
1518213206
Provider Name
Diego Medina
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
590 Fellsway, Medford, MA 02155-4925
Phone Number
781-391-2668
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2012
Last Update Date
July 10, 2023
Certification Date
July 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
590 Fellsway
Medford, MA 02155-4925
Zip
02155-4925
Phone Number
781-391-2668
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
12 Valley St Apt 244
Everett, MA 02149-2035
City
Everett
State
MA
Zip
02149-2035
Phone Number
415-629-2008

License Information

License Number
PH241523
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 Dr. Diego Medina Jr., PHARMD?

The NPI number of Dr. Diego Medina Jr., PHARMD is 1518213206. It was assigned on July 31, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Diego Medina Jr., PHARMD?

Dr. Diego Medina Jr., PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH241523.

Where does Dr. Diego Medina Jr., PHARMD practice?

The practice location is 590 Fellsway, Medford, MA 02155-4925. The office can be reached at 781-391-2668 (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 1518213206 directly on the NPPES registry website.

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