Active NPI
Greg A Deroma, RPH
- Pharmacist
- Lowell, MA
National Provider Identifier
1053413997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22771
- Practice address
- 130 Marshall Rd
Lowell, MA 01852-5130 - Phone
- (978) 671-9169
- Fax
- (978) 671-9144
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22771 | MA | Primary |
Addresses
Primary practice location
130 Marshall Rd
Lowell, MA 01852-5130
Mailing address
26 Carle Dr
Dracut, MA 01826-5264
Phone (978) 790-3006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22771 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053413997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CARLE DR",
"city": "DRACUT",
"state": "MA",
"postal_code": "018265264",
"telephone_number": "978-790-3006",
"fax_number": "978-671-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MARSHALL RD",
"city": "LOWELL",
"state": "MA",
"postal_code": "018525130",
"telephone_number": "978-671-9169",
"fax_number": "978-671-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROMA",
"first_name": "GREG",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "22771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.