Active NPI
Dimitra S Yiannos, RPH
- Pharmacist
- Gardner, MA
National Provider Identifier
1609160332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18476
- Practice address
- 52 Pearson Blvd
Gardner, MA 01440-3947 - Phone
- (978) 632-4818
- NPI assigned
- May 28, 2011
- Sex
- Female
- 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 | 18476 | MA | Primary |
Addresses
Primary practice location
52 Pearson Blvd
Gardner, MA 01440-3947
Mailing address
325 Pearl Hill Rd
Fitchburg, MA 01420-2057
Phone (978) 345-7337
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 |
|---|---|---|---|
| 18476 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306540800000",
"number": "1609160332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PEARL HILL RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014202057",
"telephone_number": "978-345-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 PEARSON BLVD",
"city": "GARDNER",
"state": "MA",
"postal_code": "014403947",
"telephone_number": "978-632-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIANNOS",
"first_name": "DIMITRA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-28",
"last_updated": "2011-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "18476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.