Oncomed Pharmaceutical Services of Ma, LLC
NPI 1790013530ActiveOrganization· Pharmacy, Specialty Pharmacy· Waltham, MA
Pharmacy, Specialty Pharmacy in Waltham, Massachusetts, registered in NPPES in December 2009. The authorized official on file is Amy Konak, Vp, Revenue Cycle Mgt. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1790013530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2009 |
| Last updated in NPPES | Dec 31, 2025 |
| Certified by provider | Dec 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | DS89702 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MA); Part B Supplier - Pharmacy (MA) |
|---|
Other Pharmacy, Specialty Pharmacy providers in Waltham
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