Doriann Supey, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02639300 Issued in NJ

Practice address

118 Farnsworth Ave
Bordentown, NJ 08505-1308

Phone

(609) 298-1811

NPI assigned

Jan 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Boyds Pharmacy of Bordentown Inc

  dba Boyds Pharmacy of Bordentown

  • Community/Retail Pharmacy
  • Bordentown, NJ
  • NPI 1417968934
  NPD (past)
• Boyds Pharmacy of Florence Inc

  dba Boyds Pharmacy of Florence

  • Community/Retail Pharmacy
  • Florence, NJ
  • NPI 1508877028
  NPD (past)

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1417609579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FARNSWORTH AVE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051308",
            "telephone_number": "609-298-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FARNSWORTH AVE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051308",
            "telephone_number": "609-298-1811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Broad St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "NJ",
            "postal_code": "085181912",
            "country_code": "US",
            "telephone_number": "609-499-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPEY",
        "first_name": "DORIANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02639300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle L Stern
• Katrina Joy Stevenson, P.T.
• John Stobie, D.C.
• Mary E Straffe, R.N.P.N.P.
• Mary C Sullivan, M.S., CCC-SLP
• Stephanie Sutphen, APN
• Alexa Terravecchio, M.S. CCC-SLP
• The Foot and Ankle Group, PC
• Edwige Theokas, LPC
• Jessica Todaro, DPT

• Pharmacist in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.