Active NPI
Shafa Faress
- Community/Retail Pharmacy
- Vauxhall, NJ
National Provider Identifier
1477019032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RI03135300
- Practice address
- 2181 Springfield Ave Unit B
Vauxhall, NJ 07088-1233 - Phone
- (908) 688-4849
- NPI assigned
- Feb 19, 2019
- Last updated
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RI03135300 | Primary |
Addresses
Primary practice location
2181 Springfield Ave Unit B
Vauxhall, NJ 07088-1233
Mailing address
2181 Springfield Ave Unit B
Vauxhall, NJ 07088-1233
Phone (908) 688-4849
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Pharma | Community/Retail Pharmacy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1477019032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2181 SPRINGFIELD AVE UNIT B",
"city": "VAUXHALL",
"state": "NJ",
"postal_code": "070881233",
"telephone_number": "908-688-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2181 SPRINGFIELD AVE UNIT B",
"city": "VAUXHALL",
"state": "NJ",
"postal_code": "070881233",
"telephone_number": "908-688-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARESS",
"first_name": "SHAFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": "28RI03135300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vauxhall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.