Individual provider Active NPI

Mary Ellen Madden, RPH

  • Pharmacist
  • Shrewsbury, NJ
National Provider Identifier
1093047201
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02862100 Issued in NJ
Practice address
1151 Shrewsbury Ave
Shrewsbury, NJ 07702-4321
Phone
(732) 380-0415
Fax
(732) 380-0417
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02862100 NJ Primary

Addresses

Primary practice location

1151 Shrewsbury Ave
Shrewsbury, NJ 07702-4321

Mailing address

1322 Barton Ave
Point Pleasant Boro, NJ 08742-4271
Phone (732) 278-0144

Other practice location 1

145 Monmouth Rd
West Long Branch, NJ 07764-1013
Phone (732) 542-6010

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
28RI02862100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saker Shoprites Inc PastSince Dec 13, 2020 Accepting new patients
Saker Shoprites Inc PastSince Dec 13, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1093047201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 BARTON AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424271",
            "telephone_number": "732-278-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024321",
            "telephone_number": "732-380-0415",
            "fax_number": "732-380-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Monmouth Rd",
            "address_purpose": "LOCATION",
            "city": "West Long Branch",
            "state": "NJ",
            "postal_code": "077641013",
            "country_code": "US",
            "telephone_number": "732-542-6010",
            "fax_number": "732-542-7875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "MARY ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02862100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.