Active NPI
Ronald Anthony Demaria, RPH
- Pharmacist
- Homewood, IL
National Provider Identifier
1407188014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051286511
- Practice address
- 17550 Halsted St
Homewood, IL 60430-2006 - Phone
- (708) 922-1588
- Fax
- (708) 922-0116
- NPI assigned
- Feb 6, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051286511 | IL | Primary |
| Pharmacist | 183500000X | 5302031715 | MI |
Addresses
Primary practice location
17550 Halsted St
Homewood, IL 60430-2006
Mailing address
17550 Halsted St
Homewood, IL 60430-2006
Phone (708) 922-1588
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051286511 | IL | MD | Pharmacist |
| 5302031715 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265414400000",
"number": "1407188014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17550 HALSTED ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302006",
"telephone_number": "708-922-1588",
"fax_number": "708-922-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17550 HALSTED ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302006",
"telephone_number": "708-922-1588",
"fax_number": "708-922-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARIA",
"first_name": "RONALD",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-06",
"last_updated": "2010-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051286511",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.