Active NPI
Mona H Purohit
- Pharmacist
- Blackwood, NJ
National Provider Identifier
1497025902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02673500
- Practice address
- 625 N Black Horse Pike
Blackwood, NJ 08012-3957 - Phone
- (856) 228-1368
- Fax
- (856) 228-1506
- NPI assigned
- Jan 1, 2012
- 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 | 28RI02673500 | NJ | Primary |
Addresses
Primary practice location
625 N Black Horse Pike
Blackwood, NJ 08012-3957
Mailing address
2 Mackenzie CT
Sewell, NJ 08080-3160
Phone (856) 245-7693
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 |
|---|---|---|---|
| 28RI02673500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Blackwood, NJ
- NPI 1518972405
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325376000000",
"number": "1497025902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MACKENZIE CT",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080803160",
"telephone_number": "856-245-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N BLACK HORSE PIKE",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080123957",
"telephone_number": "856-228-1368",
"fax_number": "856-228-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUROHIT",
"first_name": "MONA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-01",
"last_updated": "2012-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02673500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.