Individual provider Active NPI

Sadie Mahalia Derry, PHARM.D

  • Pharmacist
  • Pleasant Hills, PA
National Provider Identifier
1962723346
Registry record updated Jun 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438611 Issued in PA
Practice address
389 Old Clairton Rd
Pleasant Hills, PA 15236-4334
Phone
(412) 653-4102
NPI assigned
Jun 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438611 PA Primary

Addresses

Primary practice location

389 Old Clairton Rd
Pleasant Hills, PA 15236-4334

Mailing address

389 Old Clairton Rd
Pleasant Hills, PA 15236-4334
Phone (412) 653-4102

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
RP438611PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276905600000",
    "number": "1962723346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 OLD CLAIRTON RD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152364334",
            "telephone_number": "412-653-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 OLD CLAIRTON RD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152364334",
            "telephone_number": "412-653-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRY",
        "first_name": "SADIE",
        "middle_name": "MAHALIA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.