Active NPI
Muhaimin Id'Deen, CPHT
- Pharmacy Technician
- Cherry Hill, NJ
National Provider Identifier
1447499629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 28RW00043400
- Practice address
- 1501 Route 70 E
Cherry Hill, NJ 08034-2233 - Phone
- (856) 429-8700
- NPI assigned
- Feb 12, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 28RW00043400 | NJ | Primary |
Addresses
Primary practice location
1501 Route 70 E
Cherry Hill, NJ 08034-2233
Mailing address
1501 Route 70 E
Cherry Hill, NJ 08034-2233
Phone (856) 429-8700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RW00043400 | NJ | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RT 70 Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Covered Bridge Pharmacy
- Community/Retail Pharmacy
- Cherry Hill, NJ
- NPI 1225135155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1447499629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342233",
"telephone_number": "856-429-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342233",
"telephone_number": "856-429-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ID'DEEN",
"first_name": "MUHAIMIN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW00043400",
"primary": true
}
],
"identifiers": [],
"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 Feb 12, 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.