Active NPIIndividual provider

Dimitrios S Bakolas

Pharmacist in Mattapan, Massachusetts

NPI Number1811365885
Practice location
825 Morton St, Mattapan, MA 02126-1850
Fax
—
Last updated
June 8, 2022

Dimitrios Sotirios Bakolas is a Pharmacist based in Mattapan, MA. Dimitrios Sotirios Bakolas practices in Mattapan, MA. The NPI Number for Dimitrios Sotirios Bakolas is 1811365885 and holds a License No. PH236236 (MA). The current practice location address for Dimitrios Sotirios Bakolas is 825 Morton St, Mattapan, MA 02126-1850 and can be reached out via phone at 617-298-3114.

Provider Profile Details

NPI Number
1811365885
Provider Name
Dimitrios Sotirios Bakolas
Provider Entity Type
Individual
Gender
Male
Address
825 Morton St, Mattapan, MA 02126-1850
Phone Number
617-298-3114
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2015
Last Update Date
June 8, 2022
Certification Date
June 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Morton St
Mattapan, MA 02126-1850
Zip
02126-1850
Phone Number
617-298-3114
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
2150 Providence Hwy
Walpole, MA 02081-2525
City
Walpole
State
MA
Zip
02081-2525
Phone Number
617-325-0017

License Information

License Number
PH236236
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 Dimitrios S Bakolas?

The NPI number of Dimitrios S Bakolas is 1811365885. It was assigned on September 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Dimitrios S Bakolas?

Dimitrios S Bakolas is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH236236.

Where does Dimitrios S Bakolas practice?

The practice location is 825 Morton St, Mattapan, MA 02126-1850. The office can be reached at 617-298-3114 (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 1811365885 directly on the NPPES registry website.

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