Active NPI
William Gennaro Deegan, R.PH.
- Pharmacist
- Dumont, NJ
National Provider Identifier
1598805459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27242
- Practice address
- 32 W Madison Ave
Dumont, NJ 07628-2327 - Phone
- (201) 387-6633
- Fax
- (201) 387-1776
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 8, 2007
- 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 | 27242 | NJ | Primary |
Addresses
Primary practice location
32 W Madison Ave
Dumont, NJ 07628-2327
Mailing address
11 Bethany Cir
Closter, NJ 07624-1665
Phone (201) 768-9534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31426854 | Other | NJ | NCPDP |
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 |
|---|---|---|---|
| 27242 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598805459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BETHANY CIR",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076241665",
"telephone_number": "201-768-9534",
"fax_number": "201-387-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W MADISON AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282327",
"telephone_number": "201-387-6633",
"fax_number": "201-387-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEGAN",
"first_name": "WILLIAM",
"middle_name": "GENNARO",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "27242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "31426854",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.