VIBOL MAM RPH
NPI 1154792067
Pharmacist in Lynn, MA

Active since October 19, 2015

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vibol Mam Rph NPPES

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

VIBOL MAM RPH (NPI 1154792067) is an individual pharmacist in Lynn, Massachusetts, licensed in Massachusetts (PH233262) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1154792067
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameVIBOL MAMCredential: RPH
Location Address298 UNION STLynn, MA 01901-1342
Mailing Address298 Union StLynn, MA 01901-1342 · (781) 593-4805
Sole ProprietorYes
Enumeration DateOctober 19, 2015
NPI 1154792067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MA · PH233262
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.
298 UNION ST, Lynn, MA 01901

Other Providers at the Same Location NPPES 2

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

Registered Nurse
298 UNION ST
LYNN, MA 01901
Psychologist (Clinical)
298 UNION ST
LYNN, MA 01901

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 Vibol Mam's NPI number?

The NPI number for Vibol Mam is 1154792067. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Vibol Mam located?

Vibol Mam practices at 298 Union St, Lynn, MA 01901. The listed phone number is (781) 593-4805.

What is Vibol Mam'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 Vibol Mam was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.