Individual provider Active NPI

Laurie R Pedlar, RPH

  • Pharmacist
  • Totowa, NJ
National Provider Identifier
1164754149
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02793300 Issued in NJ
Practice address
11A Commerce Way
Totowa, NJ 07512-3106
Phone
(800) 526-5113
Fax
(973) 256-5346
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02793300 NJ Primary

Addresses

Primary practice location

11A Commerce Way
Totowa, NJ 07512-3106

Mailing address

55 Wetmore Ave
Apt 1L
Morristown, NJ 07960-8208
Phone (973) 267-5535

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02793300NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1164754149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WETMORE AVE",
            "address_2": "APT 1L",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608208",
            "telephone_number": "973-267-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11A COMMERCE WAY",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075123106",
            "telephone_number": "800-526-5113",
            "fax_number": "973-256-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDLAR",
        "first_name": "LAURIE",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02793300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.