Individual provider Active NPI

Maresa Rose Roney, PHARMD

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1659785996
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24086 Issued in NC
Practice address
510 Woodburn Rd
Raleigh, NC 27605-1326
Phone
(919) 833-5523
NPI assigned
Jun 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24086 NC Primary

Addresses

Primary practice location

510 Woodburn Rd
Raleigh, NC 27605-1326

Mailing address

510 Woodburn Rd
Raleigh, NC 27605-1326
Phone (919) 833-5523

Other names 1

  • Maresa Rose Like-Mathews Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
24086NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Person Street Pharmacy LLC Current Accepting new patients
Edc Drug Stores Past Accepting new patients
Edc Drug Stores Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1659785996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WOODBURN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051326",
            "telephone_number": "919-833-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WOODBURN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051326",
            "telephone_number": "919-833-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONEY",
        "first_name": "MARESA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARESA",
            "last_name": "LIKE-MATHEWS",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.