Individual provider Active NPI

David Michael Healy, RPH

  • Pharmacist
  • Lakewood, NJ
National Provider Identifier
1619023900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02555100 Issued in NJ
Practice address
1000 Highway 70
Suite 7
Lakewood, NJ 08701-5961
Phone
(732) 367-5222
Fax
(732) 367-3393
NPI assigned
Jan 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02555100 NJ Primary

Addresses

Primary practice location

1000 Highway 70
Suite 7
Lakewood, NJ 08701-5961

Mailing address

802 Old Indian Mills Rd
Tabernacle, NJ 08088-9023
Phone (609) 268-0471

Other identifiers 1

IdentifierTypeStateIssuer
28RI02555100OtherNJSTATE RPH 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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02555100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitwel Pharmacy LLC Past Accepting new patients
Teams Pharmacy Corp PastSince Dec 15, 2024 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, 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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619023900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 OLD INDIAN MILLS RD",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080889023",
            "telephone_number": "609-268-0471",
            "fax_number": "732-367-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 70",
            "address_2": "SUITE 7",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015961",
            "telephone_number": "732-367-5222",
            "fax_number": "732-367-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02555100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE RPH LICENSE",
            "identifier": "28RI02555100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, 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.

Verify at the official NPI Registry.