OrganizationActive
Oncomed Pharmaceutical Services of Ma, LLC
NPI 1790013530 · Specialty Pharmacy · Waltham, MA
Provider details
- NPI number
- 1790013530
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Authorized official
- Amy Konak, Vp, Revenue Cycle Mgt
- License
- DS89702 (MA)
Practice location
335 Bear Hill Rd Ste 2100
Waltham, MA 02451-1006
Phone: (877) 662-6633
Fax: (877) 662-6355
Mailing address
13410 Eastpoint Centre Dr Ste 100
Louisville, KY 40223-4160
Registry dates
- Enumerated
- 2009-12-04
- Last updated
- 2025-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.