Individual provider Active NPI

Donna Heleen Savulich, PHARMD

  • Pharmacist
  • Wyckoff, NJ
National Provider Identifier
1316524341
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01941700 Issued in NJ
Practice address
655 Wyckoff Ave
Wyckoff, NJ 07481-1429
Phone
(201) 891-5373
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01941700 NJ Primary

Addresses

Primary practice location

655 Wyckoff Ave
Wyckoff, NJ 07481-1429

Mailing address

155 Chamberlain PL
Midland Park, NJ 07432-1657
Phone (908) 229-4587

Other identifiers 1

IdentifierTypeStateIssuer
28RI01941700OtherNJOFFICE OF THE ATTORNEY GENERAL, DIV OF CONSUMER AFFAIRS, PHARMACY

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

LicenseStateTypeSpecialty
28RI01941700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Eastern Co Inc PastSince Mar 28, 2021 Accepting new patients
Walgreen Eastern Co, Inc PastSince Mar 28, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1316524341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CHAMBERLAIN PL",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321657",
            "telephone_number": "908-229-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811429",
            "telephone_number": "201-891-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVULICH",
        "first_name": "DONNA",
        "middle_name": "HELEEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01941700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF THE ATTORNEY GENERAL, DIV OF CONSUMER AFFAIRS, PHARMACY",
            "identifier": "28RI01941700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.