Active NPI
Roupen Dechkounian
- Pharmacist
- Marlborough, MA
National Provider Identifier
1467154690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH27354
- Practice address
- 181 Cedar Hill St
Marlborough, MA 01752-3057 - Phone
- (508) 624-8880
- NPI assigned
- Mar 21, 2023
- 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 | 038076 | NY | |
| Pharmacist | 183500000X | PH27354 | MA | Primary |
Addresses
Primary practice location
181 Cedar Hill St
Marlborough, MA 01752-3057
Mailing address
12 Scott Rd
Lexington, MA 02421-8118
Phone (617) 633-0794
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 |
|---|---|---|---|
| PH27354 | MA | MD | Pharmacist |
| 038076 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1467154690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SCOTT RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024218118",
"telephone_number": "617-633-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CEDAR HILL ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523057",
"telephone_number": "508-624-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECHKOUNIAN",
"first_name": "ROUPEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038076",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.