Active NPI
Alexis S Huang, PHARMD
- Pharmacist
- Ewing, NJ
National Provider Identifier
1568079457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04076100
- Practice address
- 1801 N Olden Ave
Ewing, NJ 08638-3108 - Phone
- (609) 493-9902
- NPI assigned
- Sep 25, 2020
- Last updated
- Sep 25, 2020
- Sex
- Male
- 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 | 28RI04076100 | NJ | Primary |
Addresses
Primary practice location
1801 N Olden Ave
Ewing, NJ 08638-3108
Mailing address
8 Timberbrooke Dr
Hopewell, NJ 08525-2130
Phone (609) 529-8258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RJ08664 | Other | NJ | IMMUNIZATION LICENSE |
| 28RI04076100 | Other | NJ | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 28RI04076100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
1801 N Olden Avenue Ext
Ewing, NJ 08638
Phone (609) 493-9902
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": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1568079457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TIMBERBROOKE DR",
"city": "HOPEWELL",
"state": "NJ",
"postal_code": "085252130",
"telephone_number": "609-529-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N OLDEN AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086383108",
"telephone_number": "609-493-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ALEXIS",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04076100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZATION LICENSE",
"identifier": "28RJ08664",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "28RI04076100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.