Tivona Eidelheit, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03072900 Issued in NJ

Practice address

300 Atlantic City Blvd
Beachwood, NJ 08722-2800

Phone

(732) 349-5055

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Flemington, NJ
  • NPI 1255224549
  NPD (past)
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Beachwood, NJ
  • NPI 1336519149
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1215533955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ATLANTIC CITY BLVD",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222800",
            "telephone_number": "732-349-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ATLANTIC CITY BLVD",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222800",
            "telephone_number": "732-349-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDELHEIT",
        "first_name": "TIVONA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03072900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lukas Delorenzo
• Nicole Depasquale, LPC
• Ariadne Joan Devizio, LCSW
• Dawn Duda, OTR/L
• Lisa Duncan, LCSW
• Emotional Healing LLC
• Essington Chiropractic
• Essington Family Chiropractic
• Essington Family Chiropractic LLC
• Carolyn Essington, DC

• All providers in Beachwood, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.