Kerri Ann Roach

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PI157302 Issued in MA

Practice address

36 Furlong Dr
Revere, MA 02151-4006

Phone

(781) 922-6031

NPI assigned

Feb 4, 2015

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1285024778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ENDICOTT AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514158",
            "telephone_number": "617-347-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FURLONG DR",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514006",
            "telephone_number": "781-922-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MA",
            "license": "PI157302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Rifi, BCBA
• Rose Rizzo, LICSW
• Nichol Kristen Roberts
• Tracy Sterlock Rochester, PT
• Elvish Rodrigues
• David M Roll, M.D.
• Rene Romero-Reyes

• Pharmacy Technician in Revere, MA
• Providers in Revere, MA by specialty
• Pharmacy Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.