Active NPI
Kathleen Mary Roberts, RPH.
- Pharmacist
- East Windsor, NJ
National Provider Identifier
1033491782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02355300
- Practice address
- 16 Princeton Hightstown Rd
East Windsor, NJ 08520-1909 - Phone
- (609) 448-3729
- Fax
- (609) 448-3867
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02355300 | NJ | Primary |
| Pharmacist | 183500000X | 28RJ00425 | NJ |
Addresses
Primary practice location
16 Princeton Hightstown Rd
East Windsor, NJ 08520-1909
Mailing address
7 Sequoia CT
Monroe Township, NJ 08831-4400
Phone (732) 521-4918
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 |
|---|---|---|---|
| 28RI02355300 | NJ | MD | Pharmacist |
| 28RJ00425 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1033491782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SEQUOIA CT",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314400",
"telephone_number": "732-521-4918",
"fax_number": "609-448-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PRINCETON HIGHTSTOWN RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085201909",
"telephone_number": "609-448-3729",
"fax_number": "609-448-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02355300",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RJ00425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.