Active NPI
Donna Marie Pawson, R.PH.
- Pharmacist
- Montague, NJ
National Provider Identifier
1023369253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01774100
- Practice address
- 10A State Route 23
Montague, NJ 07827-3310 - Phone
- (973) 293-3273
- NPI assigned
- Sep 27, 2012
- Last updated
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01774100 | NJ | Primary |
| Pharmacist | 183500000X | RPH02672 | RI | |
| Pharmacist | 183500000X | 055380-1 | NY |
Addresses
Primary practice location
10A State Route 23
Montague, NJ 07827-3310
Mailing address
10 A State Route 23
Montague, NJ 07827-3310
Phone (973) 293-3273
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 |
|---|---|---|---|
| 28RI01774100 | NJ | MD | Pharmacist |
| 055380-1 | NY | MD | Pharmacist |
| RPH02672 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoprite Supermarkets, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shoprite Pharmacy of Montague
- Community/Retail Pharmacy
- Montague, NJ
- NPI 1619082492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1023369253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 A STATE ROUTE 23",
"city": "MONTAGUE",
"state": "NJ",
"postal_code": "078273310",
"telephone_number": "973-293-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10A STATE ROUTE 23",
"city": "MONTAGUE",
"state": "NJ",
"postal_code": "078273310",
"telephone_number": "973-293-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWSON",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01774100",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH02672",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055380-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montague, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.