Active NPI
Lina Feliciano, RPH.
- Pharmacist
- Newark, NJ
National Provider Identifier
1396977831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RS00644400
- Practice address
- 268 MLK Blvd
Newark, NJ 07102-2011 - Phone
- (973) 877-2799
- Fax
- (973) 877-2801
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RS00644400 | NJ | Primary |
Addresses
Primary practice location
268 MLK Blvd
Newark, NJ 07102-2011
Mailing address
268 MLK Blvd
Newark, NJ 07102-2011
Phone (973) 877-2799
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RS00644400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1396977831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 MLK BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022011",
"telephone_number": "973-877-2799",
"fax_number": "973-877-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MLK BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022011",
"telephone_number": "973-877-2799",
"fax_number": "973-877-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "LINA",
"name_prefix": "Ms.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RS00644400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.