Active NPI
Evaggelia Ververelli
- Pharmacist
- Williamstown, NJ
National Provider Identifier
1124494422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI0189930
- Practice address
- 13 N Black Horse Pike
Williamstown, NJ 08094-1402 - Phone
- (856) 740-2509
- NPI assigned
- Aug 20, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI0189930 | NJ | Primary |
Addresses
Primary practice location
13 N Black Horse Pike
Williamstown, NJ 08094-1402
Mailing address
130 S 18TH St Unit 405
Philadelphia, PA 19103-4924
Phone (215) 713-6173
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 |
|---|---|---|---|
| 28RI0189930 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1124494422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S 18TH ST UNIT 405",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034924",
"telephone_number": "215-713-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 N BLACK HORSE PIKE",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080941402",
"telephone_number": "856-740-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERVERELLI",
"first_name": "EVAGGELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI0189930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.