GARY L KRACOFF (NPI# 1497934194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497934194 |
| Entity Type | Individual |
| Full Name | GARY L KRACOFF |
| Credential | REG. PHARM, NMD |
| Practice Address |
577 Main St Waltham MA 02452-5527 |
| Practice Telephone | 7818933870 |
| Mailing Telephone | 7818933870 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17262 | MA | Pharmacy Service Providers |
| Street Address |
577 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376840 | Alora L Frederick | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2020-08-11 |
| 1679044291 | Tamara Luck | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2018-12-07 |
| 1558531244 | A & J Compounding Inc | Pharmacy | 577 Main St, Waltham, MA 02452-5527 | 2008-03-10 |
| 1902827959 | S and D Bernardi Inc | Pharmacy | 577 Main St, Waltham, MA 02452-5527 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| 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 |
|---|---|---|---|---|
| 1295389369 | Muhammad Furqan | Pharmacist | 57 Taylor St, Waltham, MA 02453-5227 | 2019-07-28 |
| 1710396650 | Kenny Lam | Pharmacist | 138 Mokema Ave, Waltham, MA 02451-2252 | 2014-08-05 |
| 1942634316 | Christopher Paul Merrill | Pharmacist | 210 Bear Hill Rd Ste 401, Waltham, MA 02451-1025 | 2013-08-21 |
| 1831453885 | Robert B. Curry | Pharmacist | 265 Beal Rd, Waltham, MA 02453-6770 | 2012-06-25 |
| 1326325796 | Christopher Young | Pharmacist | 42 Francis St, Unit 1, Waltham, MA 02451-4308 | 2011-11-13 |
| 1215210356 | Pierre Panoyan | Pharmacist | 273 Temple Rd, Waltham, MA 02452-7828 | 2011-09-26 |
| 1114997632 | Aline S Keomurjian | Pharmacist | 1070 Lexington St, Waltham, MA 02452-7206 | 2006-01-26 |
| 1043821036 | Alicia Tsang | Pharmacist | 20 Weston St, Waltham, MA 02453-7758 | 2020-08-12 |
| 1588285019 | Minh Nguyen Pham | Pharmacist | 51 Linden St, Waltham, MA 02452-6117 | 2020-05-06 |
| 1659929198 | Varteni Tina Aroyan | Pharmacist | 1070 Lexington St, Waltham, MA 02452-7206 | 2019-08-28 |
| Find all providers in WALTHAM | ||||
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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.