Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. CARLYSSA MEDWIN PHARMD
NPI 1093621492
Pharmacist in East Boston, MA

Active since August 24, 2026
20 MAVERICK SQ, EAST BOSTON, MA 02128(617) 455-7784 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Carlyssa Medwin Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLYSSA MEDWIN PHARMD (NPI 1093621492) is an individual pharmacist in East Boston, Massachusetts, licensed in Massachusetts (PH1003766) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1093621492
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. CARLYSSA MEDWINCredential: PHARMD
Location Address20 MAVERICK SQEast Boston, MA 02128-2335
Mailing Address20 Maverick SqEast Boston, MA 02128-2335
Sole ProprietorNo
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
NPI 1093621492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MA · PH1003766
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.
20 MAVERICK SQ, East Boston, MA 02128

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Specialty Pharmacy)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Counselor (School)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Nurse Practitioner (Family)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Psychologist (Counseling)
20 MAVERICK SQ
BOSTON, MA 02128
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Optometrist
20 MAVERICK SQ
EAST BOSTON, MA 02128
Pharmacist
20 MAVERICK SQ
EAST BOSTON, MA 02128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlyssa Medwin's NPI number?

The NPI number for Carlyssa Medwin is 1093621492. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Carlyssa Medwin located?

Carlyssa Medwin practices at 20 Maverick Sq, East Boston, MA 02128. The listed phone number is (617) 455-7784.

What is Carlyssa Medwin's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Carlyssa Medwin was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.