Active NPI
Derrell Sloane
- Pharmacy Technician
- Watchung, NJ
National Provider Identifier
1528458288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 28RW00433900
- Practice address
- 1155 RT. 22W
Watchung, NJ 07069 - Phone
- (908) 756-8193
- Fax
- (908) 941-1701
- NPI assigned
- Feb 2, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 28RW00433900 | NJ | Primary |
Addresses
Primary practice location
1155 RT. 22W
Watchung, NJ 07069
Mailing address
908 Watchung Ave Apt 1
Plainfield, NJ 07060-2580
Phone (908) 546-8036
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 |
|---|---|---|---|
| 28RW00433900 | NJ | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1528458288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 WATCHUNG AVE APT 1",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070602580",
"telephone_number": "908-546-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 RT. 22W",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "07069",
"telephone_number": "908-756-8193",
"fax_number": "908-941-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOANE",
"first_name": "DERRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW00433900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.