Active NPI
Amelia Anna Jarosz, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Derry, NH
National Provider Identifier
1134401979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH04396
- Practice address
- 17 Crystal Ave
Derry, NH 03038-2415 - Phone
- (603) 423-9330
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 25, 2020
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH04396 | RI | Primary |
Addresses
Primary practice location
17 Crystal Ave
Derry, NH 03038-2415
Mailing address
615 Daniel Webster Hwy
Merrimack, NH 03054-2754
Phone (603) 423-9330
Other practice location 1
615 Daniel Webster Hwy
Merrimack, NH 03054-2754
Phone (603) 423-9330
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH04396 | RI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
615 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 423-9330
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1134401979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 DANIEL WEBSTER HWY",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030542754",
"telephone_number": "603-423-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CRYSTAL AVE",
"city": "DERRY",
"state": "NH",
"postal_code": "030382415",
"telephone_number": "603-423-9330"
}
],
"practiceLocations": [
{
"address_1": "615 Daniel Webster Hwy",
"address_purpose": "LOCATION",
"city": "Merrimack",
"state": "NH",
"postal_code": "030542754",
"country_code": "US",
"telephone_number": "603-423-9330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAROSZ",
"first_name": "AMELIA",
"middle_name": "ANNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2020-09-25",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "RI",
"license": "RPH04396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.