Jacqueline Derasmo, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RIO3219700 Issued in NJ

Practice address

970 Route 70
Brick, NJ 08724-3502

Phone

(732) 206-8900

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Orange Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Toms River, NJ
  • NPI 1780632802
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1821341785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243502",
            "telephone_number": "732-206-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243502",
            "telephone_number": "732-206-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERASMO",
        "first_name": "JACQUELINE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RIO3219700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Depalma
• John Anthony Depalma, DO
• Kristen Depaola
• Colleen Depaul, MSN, APRN
• Patricia Elizabeth Depko, LCSW
• William L Derrickson, DDS
• Sarah Desantis, LMSW
• John M Desio, MD
• Ryan Laurence Desrochers, DO
• John Anthony Destefano Jr., LSW

• Pharmacist in Brick, NJ
• Providers in Brick, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.