Active NPI
Erica Derr
- Pharmacist
- Allentown, PA
National Provider Identifier
1710390307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP446699
- Practice address
- 1600 N Cedar Crest Blvd
Allentown, PA 18104-2318 - Phone
- (610) 398-6617
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- 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 | RP446699 | PA | Primary |
Addresses
Primary practice location
1600 N Cedar Crest Blvd
Allentown, PA 18104-2318
Mailing address
27 N 7TH St Apt 347
Allentown, PA 18101-1366
Phone (610) 657-3189
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 |
|---|---|---|---|
| RP446699 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rite Aid Pharmacy 01355
- Community/Retail Pharmacy
- Brodheadsville, PA
- NPI 1346330461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1710390307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 N 7TH ST APT 347",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181011366",
"telephone_number": "610-657-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042318",
"telephone_number": "610-398-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERR",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2020-11-30",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP446699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.