Active NPI
Eli Korn, R.PH.
- Pharmacist
- Morganville, NJ
National Provider Identifier
1538438973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01823000
- Practice address
- 703 Ginesi Dr
Morganville, NJ 07751-1235 - Phone
- (732) 972-9795
- Fax
- (732) 972-3985
- NPI assigned
- Dec 14, 2011
- Last updated
- Dec 14, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01823000 | NJ | Primary |
Addresses
Primary practice location
703 Ginesi Dr
Morganville, NJ 07751-1235
Mailing address
703 Ginesi Dr
Morganville, NJ 07751-1235
Phone (732) 972-9795
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01823000 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poets Square Pharmacy Inc | Current | Accepting new patients | |
| Ippc Inc. | Pharmacist | Current | Accepting new patients |
| Ippc Inc | Pharmacist | Current | Accepting new patients |
Locations
703 Ginesi Dr
Morganville, NJ 07751
Phone (732) 617-8686
Organizations & group practices 3
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": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1538438973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GINESI DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511235",
"telephone_number": "732-972-9795",
"fax_number": "732-972-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 GINESI DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511235",
"telephone_number": "732-972-9795",
"fax_number": "732-972-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORN",
"first_name": "ELI",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01823000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.