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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 NPPES & CMS

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

What is Theo Rukundo's NPI number?

The NPI number for Theo Rukundo is 1215342209. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Theo Rukundo located?

Theo Rukundo practices at 850 Harrison Ave Ste Bn27, Boston, MA 02118. The listed phone number is (857) 247-8763.

What is Theo Rukundo's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Theo Rukundo was last updated on February 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.