Active NPI
Paulo L Roxo
- Pharmacist
- Ludlow, MA
National Provider Identifier
1609487255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21904
- Practice address
- 54 East St
Ludlow, MA 01056-3407 - Phone
- (413) 547-8128
- Fax
- (413) 547-8013
- NPI assigned
- Aug 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21904 | MA | Primary |
Addresses
Primary practice location
54 East St
Ludlow, MA 01056-3407
Mailing address
54 East St
Ludlow, MA 01056-3407
Phone (413) 547-8128
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 |
|---|---|---|---|
| 21904 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Ludlow, MA
- NPI 1619982816
-
- Pharmacy
- Brookhaven, PA
- NPI 1215942206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1609487255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 EAST ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563407",
"telephone_number": "413-547-8128",
"fax_number": "413-547-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 EAST ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563407",
"telephone_number": "413-547-8128",
"fax_number": "413-547-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROXO",
"first_name": "PAULO",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-16",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "21904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.