Active NPIIndividual providerSole proprietor

Michael Derosa, PHARM D

Pharmacist in Ipswich, Massachusetts

NPI Number1427351691
Practice location
114 Central St, Ipswich, MA 01938-1952
Fax
978-356-9108
Last updated
December 9, 2010

Michael Derosa is a Pharmacist based in Ipswich, MA. Michael Derosa practices in Ipswich, MA and has the professional credentials of PHARM D. The NPI Number for Michael Derosa is 1427351691 and holds a License No. ph25737 (MA). The current practice location address for Michael Derosa is 114 Central St, Ipswich, MA 01938-1952 and can be reached out via phone at 978-356-9198 and via fax at 978-356-9108.

Provider Profile Details

NPI Number
1427351691
Provider Name
Michael Derosa
Credential
PHARM D
Provider Entity Type
Individual
Gender
Male
Address
114 Central St, Ipswich, MA 01938-1952
Phone Number
978-356-9198
Fax Number
978-356-9108
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2010
Last Update Date
December 9, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Central St
Ipswich, MA 01938-1952
Zip
01938-1952
Phone Number
978-356-9198
Fax Number
978-356-9108
Ipswich, MA 01938Get directions →

Provider Business Mailing Address Details

Address
23 Riverfront Dr
Amesbury, MA 01913-4500
City
Amesbury
State
MA
Zip
01913-4500
Phone Number
781-760-8115

License Information

License Number
ph25737
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Derosa, PHARM D?

The NPI number of Michael Derosa, PHARM D is 1427351691. It was assigned on December 9, 2010 and is currently active in the NPPES registry.

What is the specialty of Michael Derosa, PHARM D?

Michael Derosa, PHARM D is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number ph25737.

Where does Michael Derosa, PHARM D practice?

The practice location is 114 Central St, Ipswich, MA 01938-1952. The office can be reached at 978-356-9198 (phone) or 978-356-9108 (fax).

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 1427351691 directly on the NPPES registry website.

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