Individual provider Active NPI

Sylvanus Augustus Chupp, PHARMD

  • Pharmacist
  • Point Pleasant Boro, NJ
National Provider Identifier
1144868282
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04043000 Issued in NJ
Practice address
3258 Bridge Ave
Point Pleasant Boro, NJ 08742-3459
Phone
(732) 892-5673
NPI assigned
Dec 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04043000 NJ Primary
Pharmacist 183500000X 065904 NY

Addresses

Primary practice location

3258 Bridge Ave
Point Pleasant Boro, NJ 08742-3459

Mailing address

3258 Bridge Ave
Point Pleasant Boro, NJ 08742-3459
Phone (732) 892-5673

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI04043000NJMDPharmacist
065904NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Jersey Inc PastSince Dec 22, 2019 Accepting new patients
Rite Aid of New Jersey Inc PastSince Dec 22, 2019 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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1144868282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 BRIDGE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423459",
            "telephone_number": "732-892-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 BRIDGE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423459",
            "telephone_number": "732-892-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPP",
        "first_name": "SYLVANUS",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04043000",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.