Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Rose Bogannam, PHARMD

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1508653692

Alexis Rose Bogannam, PHARMD is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wakefield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

701 Edgewater Dr
Wakefield, MA 01880-6242
Phone: (978) 307-6307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence PH241171 (MA)

Record details

NPI number1508653692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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