MARY ROSE MAIULLARI (NPI# 1114574019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114574019 |
| Entity Type | Individual |
| Full Name | MARY ROSE MAIULLARI |
| Other Name | MARYROSE MAIULLARI |
| Credential | PHARMD |
| Practice Address |
55 Dimock St Roxbury MA 02119-1029 |
| Mailing Address |
618 E Broadway South Boston MA 02127-1502 |
| Practice Telephone | 6174428800 |
| Mailing Telephone | 6176201894 |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2019-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH239020 | MA | Pharmacy Service Providers |
| Street Address |
55 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1508421033 | Zachary Biedermann | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-05-09 |
| 1851858401 | Yvelande Boursiquot | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-03-01 |
| 1790268837 | Danielle Sharon Ederi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-09-14 |
| 1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
| 1760996821 | Rachel Shotkin | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-11-28 |
| 1568981421 | Marzieh Bonakdarhashemi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-09-12 |
| 1225554140 | Stacy Lin Longo | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-08-22 |
| 1639624703 | Cindy Stafford | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-08-18 |
| 1205289634 | Alice Han | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813856 | Debra Jean Reid | Pharmacist | 45 Dimock St, Roxbury, MA 02119-1208 | 2005-09-27 |
| 1972101756 | Aina Maria Kim | Pharmacist | 1890 Columbus Ave, Roxbury, MA 02119-1047 | 2020-10-13 |
| 1982218798 | Christopher Gallo | Pharmacist | 2275 Washington St, Roxbury, MA 02119 | 2020-08-31 |
| 1245843119 | Jim Huang | Pharmacist | 1890 Columbus Ave, Roxbury, MA 02119-1047 | 2020-08-28 |
| 1265044382 | Jini Huh | Pharmacist | 416 Warren St, Roxbury, MA 02119-1831 | 2020-08-19 |
| 1700404548 | Vita Chau Tran | Pharmacist | 1890 Columbus Ave, Roxbury, MA 02119-1047 | 2020-07-08 |
| 1376190249 | Joyce Einsidler | Pharmacist | 50 John Eliot Sq, Roxbury, MA 02119-3694 | 2019-08-24 |
| 1437529203 | Safiya Naidjate | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2015-10-05 |
| 1467828731 | Munther El-alami | Pharmacist | 416 Warren St, Roxbury, MA 02119-1831 | 2015-08-20 |
| 1912349259 | Sagar Raju Vegesna | Pharmacist | 416 Warren St, Roxbury, MA 02119-1831 | 2013-07-29 |
| Find all providers in ROXBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.