Randall T Higgins, PHARMD
Individual provider Active NPI Pharmacist · Aberdeen, NJ
NPI 1407229149 · NPPES record last updated Nov 3, 2015
Key facts
- NPI
- 1407229149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03542700 (NJ)
- Practice address
- 17 Waverly PL
Aberdeen, NJ 07747-1817 - Phone
- (732) 895-6172
- NPI assigned
- Nov 3, 2015
- Sex
- Male
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03542700 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03542700 | NJ | Yes |
Addresses
Primary practice location
17 Waverly PL
Aberdeen, NJ 07747-1817
Mailing address
17 Waverly PL
Aberdeen, NJ 07747-1817
Phone (732) 895-6172
Other providers in Aberdeen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2015. 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.