Individual provider Active NPI

Laura Derocher, CPHT

  • Pharmacy Technician
  • Brattleboro, VT
National Provider Identifier
1104549740
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
121.135414 Issued in VT
Practice address
1 Anna Marsh Lane
Brattleboro, VT 05301
Phone
(802) 258-3739
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 121.135414 VT Primary

Addresses

Primary practice location

1 Anna Marsh Lane
Brattleboro, VT 05301

Mailing address

1 Anna Marsh Lane
Brattleboro, VT 05301

Other identifiers 1

IdentifierTypeStateIssuer
121.0135414OtherVTVERMONT BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lderocher@brattlebororetreat.org

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

State licenses

LicenseStateTypeSpecialty
121.135414VTMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1104549740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-258-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROCHER",
        "first_name": "LAURA",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VT",
            "license": "121.135414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT BOARD OF PHARMACY",
            "identifier": "121.0135414",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lderocher@brattlebororetreat.org",
            "affiliation": "N",
            "address_1": "1 Anna Marsh Lane",
            "city": "BRATTLEBORO",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.