Ronald John Devizia Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16983 Issued in NC

Practice address

802 Green Valley Rd Ste 106
Ste 106
Greensboro, NC 27408-7099

Phone

(336) 763-6968

Fax

(336) 763-7352

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kerr Drug Inc

  • Community/Retail Pharmacy
  • Durham, NC
  • NPI 1962512665
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1104828789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 LONGFORD DR.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151539",
            "telephone_number": "336-763-6968",
            "fax_number": "336-763-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 GREEN VALLEY RD STE 106",
            "address_2": "STE 106",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087099",
            "telephone_number": "336-763-6968",
            "fax_number": "336-763-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIZIA",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Devaughn, MA,CCC-SLP
• Developing Families, Inc.
• Developing Young Minds
• Sanjeev Kumar Deveshwar, MD
• Shaili Deveshwar, MD
• Anna Shaw Devlin, DNP, FNP-C
• Suzanna Devlin
• Devoted Family Home Care
• Kathleen Michie Harriss Dew, PH. D.
• Jonathan Dewald, MD

• Pharmacist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.