NPIMap

Individual provider Active NPI

Renee Suzanne Larouche

  • Pharmacist
  • Leominster, MA
National Provider Identifier
1255625042
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH232605 Issued in MA
Practice address
86 Orchard Hill Park Dr
T-1965
Leominster, MA 01453-7020
Phone
(978) 534-4358
Fax
(978) 534-4358
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH232605 MA Primary
Pharmacist 183500000X 3652 NH

Addresses

Primary practice location

86 Orchard Hill Park Dr
T-1965
Leominster, MA 01453-7020

Mailing address

86 Orchard Hill Park Dr
T-1965
Leominster, MA 01453-7020
Phone (978) 534-4358

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
PH232605MAMDPharmacist
3652NHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1255625042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 ORCHARD HILL PARK DR",
            "address_2": "T-1965",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014537020",
            "telephone_number": "978-534-4358",
            "fax_number": "978-534-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 ORCHARD HILL PARK DR",
            "address_2": "T-1965",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014537020",
            "telephone_number": "978-534-4358",
            "fax_number": "978-534-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROUCHE",
        "first_name": "RENEE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH232605",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.