Olivia Jiwon Pyo

Address: 85 Seaport Blvd Unit H, Boston, MA 02210-2010
Phone: 8573504646

Olivia Jiwon Pyo (NPI# 1477156271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1477156271
Entity Type Individual
Full Name Olivia Jiwon Pyo
Gender Female
Practice Address 85 Seaport Blvd Unit H
MA 02210-2010
Practice Telephone 8573504646
Mailing Address 85 Seaport Blvd Unit H
MA 02210-2010
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-11-16
Last Update Date 2020-11-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 183500000X Pharmacist Pharmacy Service Providers PH237803 MA

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

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Office Location

Street Address 85 SEAPORT BLVD UNIT H
State MA
Zip Code 02210-2010

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NPI Name Taxonomy Address Enumeration
1104339308 Jand Inc. Eyewear Supplier 72 Seaport Blvd, Boston, MA 02210 2017-11-09
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1013310242 Ella Osborn Dentist 268 Summer St, Boston, MA 02210 2014-10-02
1215231071 Healthworks Med Group of Massachusetts P C Clinic/Center 245 Summer St Ste 1100, Boston, MA 02210 2011-01-07
1225228323 Lisa R Hirschhorn Internal Medicine Jsi Research & Training, 44 Farnsworth Street, Boston, MA 02210 2007-07-26
1003038365 Ma Department of Youth Services Public Health or Welfare 27 Wormwood Street, Suite 400, Boston, MA 02210 2007-05-03
1043365786 Carol I Williams Surgery Mcmcllc, 88 Black Falcon Pier, Boston, MA 02210 2007-01-24
1801955265 Anjali Aggarwal Anesthesiology One Park Lane, Apartment #1005, Boston, MA 02210 2006-12-08
1609987312 Morton Bruce Rosenberg Dentist 25 Channel Center Street, #802, Boston, MA 02210 2006-08-31
1063446714 Robert C Parke Family Medicine Boston Meps Medical Section, 495 Summer Street, Boston, MA 02210 2006-07-10
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Zip Code 02210

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Dataset Information

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.