Individual provider Active NPI

Carolyn Haverlin, RPH

  • Pharmacist
  • Hazlet, NJ
National Provider Identifier
1043809049
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02747600 Issued in NJ
Practice address
2874 Hwy 35
Hazlet, NJ 07730-1504
Phone
(732) 264-3310
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02747600 NJ Primary

Addresses

Primary practice location

2874 Hwy 35
Hazlet, NJ 07730-1504

Mailing address

2874 Hwy 35
Hazlet, NJ 07730-1504
Phone (732) 264-3310

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

LicenseStateTypeSpecialty
28RI02747600NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazlet Pharmacy Inc. CurrentSince Jun 9, 2024 Accepting new patients

Locations

2874 Highway 35
Hazlet, NJ 07730
Phone (732) 264-3310

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1043809049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 HWY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301504",
            "telephone_number": "732-264-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 HWY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301504",
            "telephone_number": "732-264-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERLIN",
        "first_name": "CAROLYN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02747600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.