Individual provider Active NPI

Maryellen Cirangle, RPH

  • Pharmacist
  • Kinnelon, NJ
National Provider Identifier
1386905289
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01974900 Issued in NJ
Practice address
25 Kinnelon Rd
Kinnelon, NJ 07405-2337
Phone
(973) 838-6699
Fax
(973) 838-1236
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01974900 NJ Primary

Addresses

Primary practice location

25 Kinnelon Rd
Kinnelon, NJ 07405-2337

Mailing address

25 Kinnelon Rd
Kinnelon, NJ 07405-2337
Phone (973) 838-6699

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
28RI01974900NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1386905289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KINNELON RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-838-6699",
            "fax_number": "973-838-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KINNELON RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-838-6699",
            "fax_number": "973-838-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRANGLE",
        "first_name": "MARYELLEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01974900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.