Active NPI
Roger Patrick McDermott, R.PH.
- Pharmacist
- Fort Lauderdale, FL
National Provider Identifier
1447359153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36409
- Practice address
- 1035 NW 9TH Ave
Fort Lauderdale, FL 33311-6220 - Phone
- (954) 763-5454
- Fax
- (954) 763-8206
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PS36409 | FL | Primary |
Addresses
Primary practice location
1035 NW 9TH Ave
Fort Lauderdale, FL 33311-6220
Mailing address
1521 NE 18TH Ave
Fort Lauderdale, FL 33304-1317
Phone (954) 816-0929
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 |
|---|---|---|---|
| PS36409 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447359153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 NE 18TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041317",
"telephone_number": "954-816-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 NW 9TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333116220",
"telephone_number": "954-763-5454",
"fax_number": "954-763-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "ROGER",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
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.