Active NPI
Frank W Simmons, BS PHARMACY, PHARM D
- Geriatric Pharmacist
- Medford, NJ
National Provider Identifier
1275688541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 28RI01894600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01894600 | NJ | MD | Geriatric Pharmacist |
| 26983 | TX | MD | Geriatric 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.