Active NPI
Kerry A Pivovarnik, PHARMD
- Pharmacist
- Trenton, NJ
National Provider Identifier
1487841490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03113900
- Practice address
- 3705 Quakerbridge Rd
Suite 101
Trenton, NJ 08619-1288 - Phone
- (877) 888-2939
- NPI assigned
- Oct 3, 2007
- 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 | 28RI03113900 | NJ | Primary |
Addresses
Primary practice location
3705 Quakerbridge Rd
Suite 101
Trenton, NJ 08619-1288
Mailing address
3705 Quakerbridge Rd
Suite 101
Trenton, NJ 08619-1288
Phone (877) 888-2939
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03113900 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1487841490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 QUAKERBRIDGE RD",
"address_2": "SUITE 101",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086191288",
"telephone_number": "877-888-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 QUAKERBRIDGE RD",
"address_2": "SUITE 101",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086191288",
"telephone_number": "877-888-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIVOVARNIK",
"first_name": "KERRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03113900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
- Sophia Pierre
- Clint Shawn Pinkham, RNFA
- Serenity Noel Pinkney
- Pinnacle Treatment Centers NJ-III, LLC (Trenton Treatment Services)
- Pinnacle Treatment Centers NJ-III, LLC (Trenton Treatment Services)
- Planned Parenthood Assoc. of the Mercer Area, Inc.
- Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
- Kiersten M Plath, LCSW
- Stephen F Platt, PHARM.D.
- Natalia Plotskaya, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.