Active NPI
Erica Lau, DOCTOR OF PHARMACY
- Pharmacist
- Revere, MA
National Provider Identifier
1265830889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH235673
- Practice address
- 21 Overlook Ridge Ter
Apt 322
Revere, MA 02151-1190 - Phone
- (619) 885-1593
- NPI assigned
- Dec 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH235673 | MA | Primary |
| Pharmacist | 183500000X | 4011 | NH |
Addresses
Primary practice location
21 Overlook Ridge Ter
Apt 322
Revere, MA 02151-1190
Mailing address
21 Overlook Ridge Ter
Apt 322
Revere, MA 02151-1190
Phone (619) 885-1593
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH235673 | MA | MD | Pharmacist |
| 4011 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1265830889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OVERLOOK RIDGE TER",
"address_2": "APT 322",
"city": "REVERE",
"state": "MA",
"postal_code": "021511190",
"telephone_number": "619-885-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 OVERLOOK RIDGE TER",
"address_2": "APT 322",
"city": "REVERE",
"state": "MA",
"postal_code": "021511190",
"telephone_number": "619-885-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "ERICA",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-13",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235673",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "4011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.