Active NPI
Michael Awadalla, PHARMD
- Geriatric Pharmacist
- Moorestown, NJ
National Provider Identifier
1013439322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 28RI03332600
- Practice address
- 228 Strawbridge Dr
Moorestown, NJ 08057-4600 - Phone
- (856) 840-4838
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 28RI03332600 | NJ | Primary |
Addresses
Primary practice location
228 Strawbridge Dr
Moorestown, NJ 08057-4600
Mailing address
345 Opossum Rd
Skillman, NJ 08558-2627
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03332600 | NJ | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1013439322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 OPOSSUM RD",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 STRAWBRIDGE DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574600",
"telephone_number": "856-840-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWADALLA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NJ",
"license": "28RI03332600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.