Kristine Rodrigues
Individual provider Active NPI Pharmacist · Villas, NJ
NPI 1316620909 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1316620909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI04316000 (NJ)
- Practice address
- 1501 Bayshore Rd
Villas, NJ 08251-2302 - Phone
- (609) 886-1166
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04316000 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04316000 | NJ | Yes |
Addresses
Primary practice location
1501 Bayshore Rd
Villas, NJ 08251-2302
Mailing address
508 Justice Dr
Marlton, NJ 08053-5345
Other providers in Villas, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.