Lynn Chelucci, RPH

Individual provider Active NPI Pharmacist · Brigantine, NJ

NPI 1225624968 · NPPES record last updated Dec 16, 2020

Key facts

NPI
1225624968
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI02670700 (NJ)
Practice address
3313 Brigantine Blvd
Brigantine, NJ 08203-1008
Phone
(609) 266-3260
Fax
(609) 266-3261
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02670700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey CVS Pharmacy LLC Past
since Dec 22, 2020
Accepting new patients
New Jersey CVS Pharmacy LLC Past
since Dec 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02670700 NJ Yes

Addresses

Primary practice location

3313 Brigantine Blvd
Brigantine, NJ 08203-1008

Mailing address

3313 Brigantine Blvd
Brigantine, NJ 08203-1008
Phone (609) 266-3260

Other names

  • Mrs. Lynn Chelucci Former name

Other providers in Brigantine, NJ

All providers in Brigantine, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.