Active NPI
Anne Edelman
- Pharmacist
- Sicklerville, NJ
National Provider Identifier
1033795034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03086300
- Practice address
- 589 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9506 - Phone
- (856) 629-6453
- NPI assigned
- Mar 20, 2021
- Last updated
- Mar 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03086300 | NJ | Primary |
Addresses
Primary practice location
589 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9506
Mailing address
589 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9506
Phone (856) 629-6453
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03086300 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey CVS Pharmacy LLC | Past | Accepting new patients | |
| New Jersey CVS Pharmacy LLC | 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.
-
- Pharmacy
- Flemington, NJ
- NPI 1255224549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1033795034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 BERLIN CROSS KEYS RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080819506",
"telephone_number": "856-629-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 BERLIN CROSS KEYS RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080819506",
"telephone_number": "856-629-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELMAN",
"first_name": "ANNE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03086300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.