Justin T Cluderay, RPH
Individual provider Active NPI Pharmacist · West Deptford, NJ
NPI 1366877003 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1366877003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03590200 (NJ)
- Practice address
- 1000 Kings Hwy
West Deptford, NJ 08086-2216 - Phone
- (856) 853-2943
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03590200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New Jersey Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03590200 | NJ | Yes |
Addresses
Primary practice location
1000 Kings Hwy
West Deptford, NJ 08086-2216
Mailing address
16 Peak PL
Sewell, NJ 08080-3219
Phone (609) 605-2527
Other providers in West Deptford, NJ
- Diane Marie Cerulli
- Carl John Chando Jr.
- Brian H. Chernoff
- Joann Ciurlino
- Carolyn E Clear
- Constanta Wellness & Healing LLC
- Patrick Conway Jr.
- Katelyn Jane Corsey
- Cpap America, Inc
- Elizabeth Craft
All providers in West Deptford, NJ · Pharmacist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. 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.