Individual provider Active NPI

Ronald Vadurro, R.P.

  • Pharmacist
  • Audubon, NJ
National Provider Identifier
1154545689
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01654700 Issued in NJ
Practice address
100 N Blackhorse Pike
Acme Sav-0N Pharmacy
Audubon, NJ 08106-0000
Phone
(856) 616-2484
Fax
(856) 310-1507
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01654700 NJ Primary

Addresses

Primary practice location

100 N Blackhorse Pike
Acme Sav-0N Pharmacy
Audubon, NJ 08106-0000

Mailing address

107 Woodland Ter
Oaklyn, NJ 08107-1518
Phone (856) 854-5156

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

LicenseStateTypeSpecialty
28RI01654700NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1154545689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAND TER",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071518",
            "telephone_number": "856-854-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BLACKHORSE PIKE",
            "address_2": "ACME SAV-0N PHARMACY",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081060000",
            "telephone_number": "856-616-2484",
            "fax_number": "856-310-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADURRO",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "R.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01654700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.