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ALEXIS ROSE BOGANNAM PHARMD
NPI 1508653692
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wakefield, MA

Active since April 22, 2025
701 EDGEWATER DR, WAKEFIELD, MA 01880(978) 307-6307 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexis Rose Bogannam Pharmd NPPES

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

ALEXIS ROSE BOGANNAM PHARMD (NPI 1508653692) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Wakefield, Massachusetts, licensed in Massachusetts (PH241171) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1508653692
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameALEXIS ROSE BOGANNAMCredential: PHARMD
Location Address701 EDGEWATER DRWakefield, MA 01880-6242
Mailing Address701 Edgewater DrWakefield, MA 01880-6242 · (978) 307-6307 · Fax (631) 255-9141
Phone(978) 307-6307
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1508653692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MA · PH241171
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.
701 EDGEWATER DR, Wakefield, MA 01880
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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 Alexis Bogannam's NPI number?

The NPI number for Alexis Bogannam is 1508653692. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Alexis Bogannam located?

Alexis Bogannam practices at 701 Edgewater Dr, Wakefield, MA 01880. The listed phone number is (978) 307-6307.

What is Alexis Bogannam'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 Alexis Bogannam was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.