Sean Lean Ngo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02932100 Issued in NJ

Practice address

2 S Black Horse Pike
Blackwood, NJ 08012-2951

Phone

(856) 374-4602

NPI assigned

May 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Blackwood, NJ
  • NPI 1497854632
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273363200000",
    "number": "1164740643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ANNETTE CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809334",
            "telephone_number": "856-589-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122951",
            "telephone_number": "856-374-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "SEAN",
        "middle_name": "LEAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-09",
        "last_updated": "2010-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02932100",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP040224L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Morrone-Wolbert, LSW, LCADC
• Moving Forward Developmental Center L L C
• Naspac1 LLC
• National Mentor Healthcare, LLC
• New Jersey CVS Pharmacy LLC
• Nurse Practitioner Professional Resources
• Benjamin Nwanonenyi
• Kathleen Ann O'Shea, APN
• Ocean Winds Counseling Service, LLC
• Mojisola Odunuga, FNP-BC

• Pharmacist in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2010; 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.