Individual provider Active NPI

Craig M. Hellmuth, R.PH.

  • Pharmacist
  • Hoboken, NJ
National Provider Identifier
1205013083
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02633100 Issued in NJ
Practice address
1500 Washington St.
Apt. 6a
Hoboken, NJ 07030-6736
Phone
(201) 459-9732
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02633100 NJ Primary
Pharmacist 183500000X 041413 NY

Addresses

Primary practice location

1500 Washington St.
Apt. 6a
Hoboken, NJ 07030-6736

Mailing address

1500 Washington St.
Apt. 6a
Hoboken, NJ 07030-6736
Phone (201) 459-9732

Other identifiers 1

IdentifierTypeStateIssuer
01714438MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1205013083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WASHINGTON ST.",
            "address_2": "APT. 6A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306736",
            "telephone_number": "201-459-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WASHINGTON ST.",
            "address_2": "APT. 6A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306736",
            "telephone_number": "201-459-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLMUTH",
        "first_name": "CRAIG",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02633100",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01714438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.