Active NPI
Clifford Spence Macdermid, PHARM. D
- Pharmacist
- Yarmouth Port, MA
National Provider Identifier
1205968328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25644
- Practice address
- 918 Route 6a
Yarmouth Port, MA 02675-5102 - Phone
- (508) 362-2114
- Fax
- (508) 362-9175
- NPI assigned
- Mar 12, 2007
- 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 | 25644 | MA | Primary |
Addresses
Primary practice location
918 Route 6a
Yarmouth Port, MA 02675-5102
Mailing address
37 Dorcas Dr
Barnstable, MA 02630-1408
Phone (508) 362-8969
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 |
|---|---|---|---|
| 25644 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205968328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 DORCAS DR",
"city": "BARNSTABLE",
"state": "MA",
"postal_code": "026301408",
"telephone_number": "508-362-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 ROUTE 6A",
"city": "YARMOUTH PORT",
"state": "MA",
"postal_code": "026755102",
"telephone_number": "508-362-2114",
"fax_number": "508-362-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDERMID",
"first_name": "CLIFFORD",
"middle_name": "SPENCE",
"name_prefix": "Mr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "25644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yarmouth Port, 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.