Individual provider Active NPI

Trisha Hartman, RPH

  • Pharmacist
  • Southampton, NJ
National Provider Identifier
1215526710
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03120600 Issued in NJ
Practice address
1805 Route 206 Ste 9
Southampton, NJ 08088-3558
Phone
(609) 859-5633
Fax
(609) 859-5636
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03120600 NJ Primary

Addresses

Primary practice location

1805 Route 206 Ste 9
Southampton, NJ 08088-3558

Mailing address

1805 Route 206 Ste 9
Southampton, NJ 08088-3558
Phone (609) 859-5633

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
28RI03120600NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pharmacy LLC CurrentSince Mar 12, 2024 Accepting new patients
Hometown Pharmacy LLC PastSince Jan 17, 2021 Accepting new patients

Locations

1805 Route 206
Ste 9
Southampton, NJ 08088
Phone (609) 670-5194

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1215526710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 ROUTE 206 STE 9",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080883558",
            "telephone_number": "609-859-5633",
            "fax_number": "609-859-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 ROUTE 206 STE 9",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080883558",
            "telephone_number": "609-859-5633",
            "fax_number": "609-859-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "TRISHA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03120600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.