Active NPI
Chenzira Raphael I
- Pharmacist
- Forked River, NJ
National Provider Identifier
1619411923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03904700
- Practice address
- 101 S Main St
Forked River, NJ 08731-3624 - Phone
- (609) 242-0066
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451225 | PA | |
| Pharmacist | 183500000X | 28RI03904700 | NJ | Primary |
Addresses
Primary practice location
101 S Main St
Forked River, NJ 08731-3624
Mailing address
101 S Main St
Forked River, NJ 08731-3624
Other practice location 1
4299 Union Deposit Rd
Harrisburg, PA 17111-2802
Phone (717) 564-6750
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03904700 | NJ | MD | Pharmacist |
| RP451225 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug 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.
-
dba Rite Aid Pharmacy 10507
- Community/Retail Pharmacy
- Forked River, NJ
- NPI 1285733410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1619411923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087313624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087313624",
"telephone_number": "609-242-0066"
}
],
"practiceLocations": [
{
"address_1": "4299 Union Deposit Rd",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171112802",
"country_code": "US",
"telephone_number": "717-564-6750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPHAEL",
"first_name": "CHENZIRA",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451225",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03904700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.