Provider Demographics
NPI:1760355176
Name:KANE, ELONA NGJELA (PHARMD)
Entity type:Individual
Prefix:
First Name:ELONA
Middle Name:NGJELA
Last Name:KANE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CITY SQ STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-3730
Mailing Address - Country:US
Mailing Address - Phone:888-566-0010
Mailing Address - Fax:
Practice Address - Street 1:100 CITY SQ STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-3730
Practice Address - Country:US
Practice Address - Phone:888-566-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233299183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty