Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS ROSE BOGANNAM, PHARMD
ActiveALEXIS ROSE BOGANNAM, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in WAKEFIELD, Massachusetts. NPI 1508653692 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · WAKEFIELD, MA
Registration Details
- NPI Number
- 1508653692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2025 (1.130192867615 yrs)
- Last Updated
- Apr 22, 2025
- License
-
PH241171 (MA)
Practice Information
- Address
-
701 EDGEWATER DRWAKEFIELD, MA, 018806242Browse MA providers · Browse ZIP 01880
- Phone
- 9783076307
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Other Pharmacist Clinician (PhC) Providers in WAKEFIELD, MA
| Name | Credential | NPI |
|---|---|---|
| COLLEEN PRINZIVALLI | PHARMD, BCPS, BCGP | 1710112057 |
| MS. PAMELA S. SHERRY | PHARM.D. | 1710289566 |
| KATHRYN ELAINE PINKNEY | PHARMD | 1225409352 |
| PATRICK MCCARTHY | PHARMD | 1255848123 |
| STAR RONG | — | 1912794017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.