Gina Marie Derue, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

054735 Issued in NY

Practice address

1083 Delaware Ave
Buffalo, NY 14209-1635

Phone

(716) 862-2186

NPI assigned

Apr 6, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gina Marie Ferris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1073802484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STOUGHTON LN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091635",
            "telephone_number": "716-862-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERUE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "FERRIS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Ernst Deroo, SLP
• Alexandra Derosa, MD
• Alicia Derosa, PHARMD
• Andrea L. Derosas, M.D.
• Brittany Derry
• Akshata Desai, M.D.
• Hesha Desai, RPH
• Kalpesh Jyoti Desai, PHARMD
• Samir A Desai, RPH
• Evelyn Desantis

• Pharmacist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.