GREG A DEROMA (NPI# 1053413997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053413997 |
| Entity Type | Individual |
| Full Name | GREG A DEROMA |
| Credential | RPH |
| Practice Address |
130 Marshall Rd Lowell MA 01852-5130 |
| Mailing Address |
26 Carle Dr Dracut MA 01826-5264 |
| Practice Telephone | 9786719169 |
| Practice Fax Number | 9786719144 |
| Mailing Telephone | 9787903006 |
| Mailing Fax Number | 9786719144 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22771 | MA | Pharmacy Service Providers |
| Street Address |
130 MARSHALL RD |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079668 | Meredith A Enright | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2005-10-31 |
| 1801401336 | Kristin Latino | Occupational Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2020-09-11 |
| 1881119733 | Justin Mayhew | Dietitian, Registered | 130 Marshall Rd, Lowell, MA 01852-5130 | 2017-08-11 |
| 1376786715 | Keiya Angenette Myles | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2009-04-15 |
| 1861681934 | Alexander J Scerbo | Clinical Nurse Specialist | 130 Marshall Rd, Lowell Cboc, Lowell, MA 01852-5130 | 2007-10-15 |
| 1760684955 | Shivani Motkar Reddy | Internal Medicine | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-06-01 |
| 1750509063 | Sun Ok Lee | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-04-23 |
| 1659408235 | Diane F Clinton | Registered Nurse | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-02-28 |
| 1619038015 | Nicole Marie Powell | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-12-12 |
| 1235222019 | Joanne Mary Lyson | Physical Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772561 | Michael John Jones | Pharmacist | 225 Stedman St Ste 27, Lowell, MA 01851-2792 | 2019-04-19 |
| 1588066682 | Baljit Singh | Pharmacist | 1074 E Commercial Ave, Lowell, IN 46356-7736 | 2014-09-19 |
| 1225388796 | Marvin Allen | Pharmacist | 727 Overlook Rd, Lowell, NC 28098-2200 | 2012-09-12 |
| 1700161601 | Sopheaktra Eang | Pharmacist | 50 Puffer St, Lowell, MA 01851-4101 | 2011-10-12 |
| 1508140120 | Kelley Campbell | Pharmacist | 1704 E. Commercial Ave, Lowell, IN 46356 | 2011-09-30 |
| 1164717682 | James Michael Scanlon | Pharmacist | 181 Plain St., T-2480, Lowell, MA 01852 | 2011-06-13 |
| 1356656961 | Lan Mai Pham | Pharmacist | 25 Wood Street, Rite Aid Pharmacy, Lowell, MA 01851 | 2010-08-09 |
| 1871806901 | Stephen James Primes | Pharmacist | 25 Wood St, Lowell, MA 01851-1518 | 2010-07-18 |
| 1871710491 | William Henry Rouine | Pharmacist | 1231 Bridge St, Lowell, MA 01850 | 2007-04-18 |
| 1588787394 | Inderpreet Grover | Pharmacist | 276 Broadway St, Lowell, MA 01854-4121 | 2007-04-08 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.