Mira Rostom, DR
Pharmacist in Worcester, Massachusetts
1093310070- Practice location
- 500 Grafton St Ste 2, Worcester, MA 01604-4799
- Phone
- 978-840-8343
- Fax
- —
- Last updated
- November 8, 2025
Mira Rostom is a Pharmacist based in Worcester, MA. Mira Rostom practices in Worcester, MA and has the professional credentials of DR. The NPI Number for Mira Rostom is 1093310070 and holds a License No. PH239106 (MA). The current practice location address for Mira Rostom is 500 Grafton St Ste 2, Worcester, MA 01604-4799 and can be reached out via phone at 978-840-8343.
Provider Profile Details
- NPI Number
- 1093310070
- Provider Name
- Mira Rostom
- Credential
- DR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Grafton St Ste 2, Worcester, MA 01604-4799
- Phone Number
- 978-840-8343
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2020
- Last Update Date
- November 8, 2025
- Certification Date
- November 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Grafton St Ste 2
Worcester, MA 01604-4799 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-4799
- Phone Number
- 978-840-8343
Provider Business Mailing Address Details
- Address
- 500 Grafton St
Worcester, MA 01604-4713 - City
- Worcester
- State
- MA
- Zip
- 01604-4713
- Phone Number
- 508-798-8743
License Information
- License Number
- PH239106
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Worcester, MA
View all Pharmacists in Worcester →Frequently Asked Questions
What is the NPI number of Mira Rostom, DR?
The NPI number of Mira Rostom, DR is 1093310070. It was assigned on November 30, 2020 and is currently active in the NPPES registry.
What is the specialty of Mira Rostom, DR?
Mira Rostom, DR is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH239106.
Where does Mira Rostom, DR practice?
The practice location is 500 Grafton St Ste 2, Worcester, MA 01604-4799. The office can be reached at 978-840-8343 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093310070 directly on the NPPES registry website.