Individual provider Active NPI

William Mahoney, RPH

  • Pharmacist
  • Wildwood, NJ
National Provider Identifier
1275848228
Registry record updated Aug 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01444300 Issued in NJ
Practice address
4201 Atlantic Ave
Wildwood, NJ 08260-4601
Phone
(609) 729-1050
Fax
(609) 523-2595
NPI assigned
Aug 15, 2010
Last updated
Aug 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01444300 NJ Primary

Addresses

Primary practice location

4201 Atlantic Ave
Wildwood, NJ 08260-4601

Mailing address

5 Halick CT
East Brunswick, NJ 08816-1373
Phone (732) 354-0065

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01444300NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281830400000",
    "number": "1275848228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HALICK CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161373",
            "telephone_number": "732-354-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ATLANTIC AVE",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082604601",
            "telephone_number": "609-729-1050",
            "fax_number": "609-523-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-15",
        "last_updated": "2010-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01444300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; 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.