Active NPI
Devillers Pharmacy Inc.
- Community/Retail Pharmacy
- Fall River, MA
National Provider Identifier
1881799716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3398
- Legal business name
- DEVILLERS PHARMACY INC.
- Practice address
- 1392 Rodman St
Fall River, MA 02721-3845 - Phone
- (508) 679-1944
- Fax
- (508) 679-1946
- NPI assigned
- Sep 14, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre Raymond Devillers, RPH.
- Title
- President
- Phone
- (508) 679-1944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 3398 | MA | Primary |
Addresses
Primary practice location
1392 Rodman St
Fall River, MA 02721-3845
Mailing address
1392 Rodman St
Fall River, MA 02721-3845
Phone (508) 679-1944
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0403962 | Medicaid | MA | |
| 0505140001 | Other | MA | NSC |
National Provider Directory
National Provider DirectoryLocations
1392 Rodman St
Fall River, MA 02721
Phone (508) 679-1944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881799716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 RODMAN ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213845",
"telephone_number": "508-679-1944",
"fax_number": "508-679-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1392 RODMAN ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213845",
"telephone_number": "508-679-1944",
"fax_number": "508-679-1946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVILLERS PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEVILLERS",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "15086791944",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "3398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0403962",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "0505140001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.