ALICIA DEROSA


Address: 3495 Bailey Ave, Buffalo, NY 14215-1129
Phone: 7168349200

ALICIA DEROSA (NPI# 1013566710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013566710
Entity Type Individual
Full Name ALICIA DEROSA
Credential PHARMD
Practice Address 3495 Bailey Ave
Buffalo
NY 14215-1129
Mailing Address 423 Emerson Dr Apt 11
Amherst
NY 14226-1331
Practice Telephone 7168349200
Enumeration Date 2019-09-05
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
28RI04024500 NJ Pharmacy Service Providers

Office Location

Street Address 3495 BAILEY AVE
City BUFFALO
State NY
Zip Code 14215-1129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659377968 Deborah Lynn Farolino Internal Medicine 3495 Bailey Ave, Buffalo, NY 14215-1129 2005-06-22
1932727799 Kaitlyn Starr Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-07-08
1992322622 Michael Thomas Carter Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-06-29
1194348912 Shyamashree Sinha Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-05-27
1497378095 Peter Thomas Hibl Chiropractor 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-05-19
1811529076 Esther Lee Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-02-06
1982236139 Andrew Dobmeier Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-02-06
1174163299 Rachel Atkinson Social Worker 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-01-07
1568008308 Kristen Tilson Dietitian, Registered 3495 Bailey Ave, Buffalo, NY 14215-1129 2019-11-26
1942842315 Richard Justin Moore Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2019-10-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
1093336646 Sanjeevani Tomar Student in an Organized Health Care Education/Training Program University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 2020-05-05
1982225926 Rohan Pandey Student in an Organized Health Care Education/Training Program 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 2020-04-30
1235759911 Michael William O'donnell Student in an Organized Health Care Education/Training Program Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 2020-04-22
1780204883 Ishwor Sharma Student in an Organized Health Care Education/Training Program Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 2020-04-20
1174142632 Salman Masood Student in an Organized Health Care Education/Training Program 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 2020-04-14
1730718354 Charles Feng Hua Zhang Student in an Organized Health Care Education/Training Program Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 2020-04-06
1700415650 Joseph Charles L'huillier Student in an Organized Health Care Education/Training Program General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 2020-04-03
Find all providers in zip 14215

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811371610 Deanna Phoenix Pharmacist Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 2015-07-13
1295087872 Alice C. Ceacareanu Pharmacist Elm and Carlton, Outpatient Leukemia Clinic, Buffalo, NY 14260-0001 2012-10-08
1023388535 Ashley Nichole Webb Pharmacist 315 Hochstetter Hall, Ub School of Pharmacy North Campus, Buffalo, NY 14260-1200 2012-01-01
1992322622 Michael Thomas Carter Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-06-29
1710500277 Calvin James Meaney Pharmacist 462 Grider St, Buffalo, NY 14215-3098 2020-05-19
1235751611 Ub Pharmacist 3435 Main Street, D17 Michael Hall, Buffalo, NY 14214 2020-05-08
1881193100 Jenna Covelli Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2018-02-02
1588180053 Collin Matthew Clark Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2017-08-16
1053836858 Brandon James Wolski Pharmacist 2101 Elmwood Ave, Buffalo, NY 14207-1908 2017-08-14
1437697018 Joseph Anthony Morganti Pharmacist 2157 Main St, Buffalo, NY 14214-2648 2017-02-03
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14215

Improve Information

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Dataset Information

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.

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