Moira Schwager, PHARM-D

Individual provider Active NPI Pharmacist · Runnemede, NJ

NPI 1639774367 · NPPES record last updated Dec 1, 2020

Key facts

NPI
1639774367
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI03508100 (NJ)
Practice address
824 N Black Horse Pike
Runnemede, NJ 08078-1034
Phone
(856) 939-5656
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03508100NJMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03508100 NJ Yes

Addresses

Primary practice location

824 N Black Horse Pike
Runnemede, NJ 08078-1034

Mailing address

28 Quaker Rd
Mickleton, NJ 08056-1303
Phone (856) 981-1572

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Www.cvs.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2020.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1639774367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 QUAKER RD",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561303",
            "telephone_number": "856-981-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781034",
            "telephone_number": "856-939-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAGER",
        "first_name": "MOIRA",
        "name_prefix": "Dr.",
        "credential": "PHARM-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03508100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.cvs.com",
            "affiliation": "N",
            "address_1": "824 N Black Horse Pike",
            "city": "Runnemede",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080781034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Runnemede, NJ

All providers in Runnemede, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.