James Derderian, PHARMD.
NPI 1336424118ActiveIndividual· Pharmacist· Pawtucket, RI
Pharmacist (PHARMD.) in Pawtucket, Rhode Island, licensed in RI and MA, with an NPI issued in October 2011.
Overview
| NPI | 1336424118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD. |
| Sole proprietor | No |
| NPI issued | Oct 12, 2011 |
| Last updated in NPPES | Oct 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 04856 | RI |
| Pharmacist | 183500000X | 232948 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Pawtucket
- 1891062329
- 1811561228
- 1457947715
- 1588071542
- 1932075561
- 1568059350
- 1750665790
- 1124615638
- 1033494471
- 1124151634
- 1083217384
- 1134404551