DIMITRIOS SOTIRIOS BAKOLAS (NPI# 1811365885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811365885 |
| Entity Type | Individual |
| Full Name | DIMITRIOS SOTIRIOS BAKOLAS |
| Practice Address |
825 Morton St Mattapan MA 02126-1850 |
| Mailing Address |
8 Pitsmoor Rd Roslindale MA 02131-2127 |
| Practice Telephone | 6172983114 |
| Mailing Telephone | 7814927709 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH236236 | MA | Pharmacy Service Providers |
| Street Address |
825 MORTON ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559164 | Tony Minhnhut Nguyen | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2020-08-21 |
| 1891171245 | Tuan Anh Dinh | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2015-08-08 |
| 1861892804 | Joyce Ji | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2014-08-27 |
| 1174805154 | Mina Nabi | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2011-09-15 |
| 1073895512 | Sushma Sunak | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2011-09-11 |
| 1396027827 | Rawan Barakat | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2011-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| 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 |
|---|---|---|---|---|
| 1316559164 | Tony Minhnhut Nguyen | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2020-08-21 |
| 1760962914 | Sarah Visintainer | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2018-08-17 |
| 1891206322 | Kelsey Beth Sheehan | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2017-10-24 |
| 1346797974 | Themio Jvc Papadopoulos | Pharmacist | 1135 Morton Street, Harbor Health Services, Inc., Mattapan, MA 02126 | 2016-09-01 |
| 1891171245 | Tuan Anh Dinh | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2015-08-08 |
| 1861892804 | Joyce Ji | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2014-08-27 |
| 1225443831 | Amy Wujastyk Thein | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2014-06-23 |
| 1083056410 | Karrie Juengel | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-07-26 |
| 1174805154 | Mina Nabi | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2011-09-15 |
| 1073895512 | Sushma Sunak | Pharmacist | 825 Morton St, Mattapan, MA 02126-1850 | 2011-09-11 |
| Find all providers in MATTAPAN | ||||
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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.