Individual provider Active NPI

Patricia Ann Deckert, RPH

  • Pharmacist
  • Newton, NJ
National Provider Identifier
1578031209
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02084400 Issued in NJ
Practice address
121 Water St
Newton, NJ 07860-1420
Phone
(973) 383-4849
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02084400 NJ Primary

Addresses

Primary practice location

121 Water St
Newton, NJ 07860-1420

Mailing address

121 Water St
Newton, NJ 07860-1420
Phone (973) 383-4849

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

LicenseStateTypeSpecialty
28RI02084400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weis Markets Inc Past Accepting new patients
Weis Markets Inc 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1578031209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WATER ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601420",
            "telephone_number": "973-383-4849",
            "fax_number": "973-383-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WATER ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601420",
            "telephone_number": "973-383-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKERT",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02084400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.