Individual provider Active NPI

Domenica Trombetta, PHARMACIST

  • Pharmacist
  • Cherry Hill, NJ
National Provider Identifier
1386993798
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02099500 Issued in NJ
Practice address
100 Dobbs LN
Suite 205
Cherry Hill, NJ 08034-1436
Phone
(856) 685-7440
Fax
(856) 685-7490
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02099500 NJ Primary

Addresses

Primary practice location

100 Dobbs LN
Suite 205
Cherry Hill, NJ 08034-1436

Mailing address

100 Dobbs LN
Suite 205
Cherry Hill, NJ 08034-1436
Phone (856) 685-7440

Other identifiers 1

IdentifierTypeStateIssuer
3144499OtherNJNABP

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

State licenses

LicenseStateTypeSpecialty
28RI02099500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Adlers Pharmacy LTC PastSince Oct 11, 2020 Accepting new patients
Adlers Pharmacy LTC Inc PastSince Aug 2, 2020 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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1386993798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOBBS LN",
            "address_2": "SUITE 205",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341436",
            "telephone_number": "856-685-7440",
            "fax_number": "856-685-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOBBS LN",
            "address_2": "SUITE 205",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341436",
            "telephone_number": "856-685-7440",
            "fax_number": "856-685-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBETTA",
        "first_name": "DOMENICA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02099500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3144499",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.