Active NPI
George D Lippman, RPH
- Pharmacist
- North Brunswick, NJ
National Provider Identifier
1629256896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01534600
- Practice address
- 1345 Rte 1
North Brunswick, NJ 08902-2001 - Phone
- (732) 828-3103
- NPI assigned
- Feb 9, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 28RI01534600 | NJ | Primary |
Addresses
Primary practice location
1345 Rte 1
North Brunswick, NJ 08902-2001
Mailing address
61 Van Liew Ave
Milltown, NJ 08850-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI01534600 | Other | NJ | RPH STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01534600 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202515200000",
"number": "1629256896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 VAN LIEW AVE",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088501122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 RTE 1",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089022001",
"telephone_number": "732-828-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPMAN",
"first_name": "GEORGE",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-09",
"last_updated": "2008-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01534600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH STATE LICENSE #",
"identifier": "28RI01534600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.