Individual provider Active NPI

Frank W Simmons, BS PHARMACY, PHARM D

  • Geriatric Pharmacist
  • Medford, NJ
National Provider Identifier
1275688541
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
28RI01894600 Issued in NJ
Practice address
1 Medford Leas Ste 4
Medford, NJ 08055-2254
Phone
(609) 654-3391
Fax
(609) 257-0827
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 26983 TX
Geriatric Pharmacist 1835G0303X 28RI01894600 NJ Primary

Addresses

Primary practice location

1 Medford Leas Ste 4
Medford, NJ 08055-2254

Mailing address

2171 Stanger Ave
Williamstown, NJ 08094-3323
Phone (609) 617-6398

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI01894600NJMDGeriatric Pharmacist
26983TXMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1275688541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 STANGER AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943323",
            "telephone_number": "609-617-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDFORD LEAS STE 4",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552254",
            "telephone_number": "609-654-3391",
            "fax_number": "609-257-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "FRANK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "BS PHARMACY, PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TX",
            "license": "26983",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NJ",
            "license": "28RI01894600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.