Provider Demographics
NPI:1144084088
Name:ROYER, JEMIMAH ASHLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEMIMAH
Middle Name:ASHLEY
Last Name:ROYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:957 KILMER LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3103
Mailing Address - Country:US
Mailing Address - Phone:347-685-8286
Mailing Address - Fax:
Practice Address - Street 1:957 KILMER LN
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3103
Practice Address - Country:US
Practice Address - Phone:347-685-8286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0135189183500000X
OH03443937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist