Individual provider Active NPI

James G Derosky, RPH

  • Pharmacist
  • East Liverpool, OH
National Provider Identifier
1992050199
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03211372 Issued in OH
Practice address
15891 State RT 170
East Liverpool, OH 43920-9415
Phone
(330) 386-6666
Fax
(330) 385-8912
NPI assigned
Jul 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03211372 OH Primary

Addresses

Primary practice location

15891 State RT 170
East Liverpool, OH 43920-9415

Mailing address

15891 State RT 170
East Liverpool, OH 43920-9415
Phone (330) 386-6666

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03211372OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1992050199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15891 STATE RT 170",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209415",
            "telephone_number": "330-386-6666",
            "fax_number": "330-385-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15891 STATE RT 170",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209415",
            "telephone_number": "330-386-6666",
            "fax_number": "330-385-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSKY",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03211372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.