Active NPI
Thomas Cassidy Jr., RPH
- Pharmacist
- Stratford, NJ
National Provider Identifier
1013128487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02701900
- Practice address
- 18 Laurel Rd E
Kennedy Memorial Hospital
Stratford, NJ 08084 - Phone
- (856) 346-7837
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02701900 | NJ | Primary |
Addresses
Primary practice location
18 Laurel Rd E
Kennedy Memorial Hospital
Stratford, NJ 08084
Mailing address
26 Maple Leaf Dr
Mullica Hill, NJ 08062-1934
Phone (856) 223-0689
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02701900 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013128487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MAPLE LEAF DR",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080621934",
"telephone_number": "856-223-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LAUREL RD E",
"address_2": "KENNEDY MEMORIAL HOSPITAL",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "08084",
"telephone_number": "856-346-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02701900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.