Sandra Rey

Individual provider Active NPI Pharmacist · Williamstown, NJ

NPI 1184220162 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1184220162
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI02530900 (NJ)
Practice address
100 S Black Horse Pike
Williamstown, NJ 08094-1560
Phone
(856) 728-7474
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28RI02530900NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Berat Corporation Past
since Dec 13, 2020
Accepting new patients
Berat Corporation Past
since Dec 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02530900 NJ Yes

Addresses

Primary practice location

100 S Black Horse Pike
Williamstown, NJ 08094-1560

Mailing address

100 S Black Horse Pike
Williamstown, NJ 08094-1560
Phone (856) 728-7474

Other providers in Williamstown, NJ

All providers in Williamstown, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.