Individual provider Active NPI

Corrin Tota

  • Pharmacist
  • Clark, NJ
National Provider Identifier
1003207515
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02210600 Issued in NJ
Practice address
76 Central Ave
Clark, NJ 07066-1422
Phone
(732) 381-1133
Fax
(732) 381-7191
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02210600 NJ Primary

Addresses

Primary practice location

76 Central Ave
Clark, NJ 07066-1422

Mailing address

235 Matchaponix Ave
Monroe, NJ 08831-4080
Phone (201) 956-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI02210600NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1003207515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MATCHAPONIX AVE",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314080",
            "telephone_number": "201-956-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CENTRAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661422",
            "telephone_number": "732-381-1133",
            "fax_number": "732-381-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTA",
        "first_name": "CORRIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02210600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.