MIRA ROSTOM DR
NPI 1093310070
Pharmacist in Worcester, MA

Active since November 30, 2020
500 GRAFTON ST STE 2, WORCESTER, MA 01604(978) 840-8343 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2025, Nov 30, 2020 (2 updates tracked since 2020).

About Mira Rostom Dr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA ROSTOM DR (NPI 1093310070) is an individual pharmacist in Worcester, Massachusetts, licensed in Massachusetts (PH239106) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1093310070
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMIRA ROSTOMCredential: DR
Location Address500 GRAFTON ST STE 2Worcester, MA 01604-4799
Mailing Address500 Grafton StWorcester, MA 01604-4713 · (508) 798-8743
Sole ProprietorNo
Enumeration DateNovember 30, 2020
Last NPPES UpdateNovember 8, 20252 updates tracked since enumeration
NPPES CertifiedNovember 8, 2025
NPI 1093310070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MA · PH239106
Definition

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.

500 GRAFTON ST STE 2, Worcester, MA 01604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093310070, enumerated as an "individual" on November 30, 2020.

The provider is located at 500 GRAFTON ST STE 2 WORCESTER, MA 01604 and the phone number is (978) 840-8343.

Pharmacist with taxonomy code 183500000X.