Christian Oscar Cevallos

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04305200 Issued in NJ

Practice address

111 Route 73
Voorhees, NJ 08043-9573

Phone

(856) 768-1801

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eckerd Corporation

  dba Rite Aid Pharmacy 10448

  • Community/Retail Pharmacy
  • Voorhees, NJ
  • NPI 1396846093
  NPD (past)
• Eckerd Corporation

  dba Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1619666443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FENWAY AVE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080043017",
            "telephone_number": "856-264-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROUTE 73",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439573",
            "telephone_number": "856-768-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVALLOS",
        "first_name": "CHRISTIAN",
        "middle_name": "OSCAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04305200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Family Services, Inc.
• Center for Family Services, Inc.
• Center for Family Services, Inc.
• Center for Urologic Care
• Centerstone Behavioral Health
• Katie Chamberlin
• Emily Champion
• Tammy Chan, NP-C
• Sweta Chandela, MD
• Janay Chandler

• Pharmacist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.