Active NPI
Phyllis Hayes-Beard, PHARMACIST
- Pharmacist
- Toms River, NJ
National Provider Identifier
1124621305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02033100
- Practice address
- 353 Route 37 E
Toms River, NJ 08753-5562 - Phone
- (732) 341-3620
- NPI assigned
- Nov 19, 2020
- 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 | 28RI02033100 | NJ | Primary |
Addresses
Primary practice location
353 Route 37 E
Toms River, NJ 08753-5562
Mailing address
91 Walker Ave
West Berlin, NJ 08091-1918
Other names 1
- Phyllis Hayes
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 |
|---|---|---|---|
| 28RI02033100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
-
- Community/Retail Pharmacy
- Toms River, NJ
- NPI 1194757047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1124621305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 WALKER AVE",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080911918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 ROUTE 37 E",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087535562",
"telephone_number": "732-341-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES-BEARD",
"first_name": "PHYLLIS",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02033100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHYLLIS",
"last_name": "HAYES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.