Brian Walter Wolonsavich
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Peabody, MA. Individual provider (NPI-1).
NPI number1336739788
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1336739788
- Entity type
- Individual (NPI-1)
- Name
- Brian Walter Wolonsavich
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 22523 | MA | Yes |
Practice location
2 Technology DrPeabody, MA 01960-7907
Phone 800-552-4449
Mailing address
16 Fern StBeverly, MA 01915-1570
Phone 978-927-5084
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