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THEO BLAISE RUKUNDO PHARMD
NPI 1215342209
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Boston, MA

Active since June 27, 2014
850 HARRISON AVE STE BN27, BOSTON, MA 02118(857) 247-8763 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theo Blaise Rukundo Pharmd NPPES

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

THEO BLAISE RUKUNDO PHARMD (NPI 1215342209) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Boston, Massachusetts, licensed in Massachusetts (PH240122) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1215342209
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameTHEO BLAISE RUKUNDOCredential: PHARMD
Location Address850 HARRISON AVE STE BN27Boston, MA 02118-4001
Mailing Address850 Harrison Ave Ste Bn27Boston, MA 02118-4001 · (857) 247-8763
Phone(857) 247-8763
Sole ProprietorYes
Enumeration DateJune 27, 2014
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1215342209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MA · PH240122
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License PCT.0012736 (CT)
850 HARRISON AVE STE BN27, Boston, MA 02118
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Other Identifiers 2

OtherPCT.0012736CT · Connecticut Pharmacist License
OtherPH240122MA · Massachusetts Pharmacist License

Frequently Asked Questions

What is Theo Rukundo's NPI number?

The NPI number assigned to this healthcare provider is 1215342209, enumerated as an "individual" on June 27, 2014.

Where is the provider located?

The provider is located at 850 HARRISON AVE STE BN27 BOSTON, MA 02118 and the phone number is (857) 247-8763.

What is the provider's specialty?

Pharmacist with taxonomy code 1835P0018X and a focus in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist.

What insurance does Theo Rukundo accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.