Active NPI
Prerna D Rao, PHARMACIST
- Pharmacist
- Concord, MA
National Provider Identifier
1942502059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- MA 23545
- Practice address
- 133 Ornac
Concord, MA 01742-4159 - Phone
- (978) 287-3770
- Fax
- (978) 287-3670
- NPI assigned
- Nov 22, 2010
- Last updated
- Nov 23, 2010
- 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 | MA 23545 | MA | Primary |
Addresses
Primary practice location
133 Ornac
Concord, MA 01742-4159
Mailing address
133 Ornac
Concord, MA 01742-4159
Phone (978) 287-3770
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 |
|---|---|---|---|
| MA 23545 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1942502059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 ORNAC",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "978-287-3770",
"fax_number": "978-287-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ORNAC",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "978-287-3770",
"fax_number": "978-287-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "PRERNA",
"middle_name": "D",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "MA 23545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.