Active NPI
Michael Duffin, PHARMD
- Pharmacist
- Mount Royal, NJ
National Provider Identifier
1255764460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP940440
- Practice address
- 146 Billows Dr.
Mount Royal, NJ 08061 - Phone
- (484) 716-4649
- NPI assigned
- Aug 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP940440 | PA | Primary |
Addresses
Primary practice location
146 Billows Dr.
Mount Royal, NJ 08061
Mailing address
146 Billows Dr.
Mt. Royal, NJ 08061
Phone (484) 716-4649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4847164649 | Medicaid | PA |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP940440 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1255764460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 BILLOWS DR.",
"city": "MT. ROYAL",
"state": "NJ",
"postal_code": "08061",
"telephone_number": "484-716-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 BILLOWS DR.",
"city": "MOUNT ROYAL",
"state": "NJ",
"postal_code": "08061",
"telephone_number": "484-716-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFIN",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP940440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4847164649",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Royal, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.