Individual provider Active NPI

Lillian Burrell

  • Pharmacist
  • Waretown, NJ
National Provider Identifier
1639775877
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RIO2411000 Issued in NJ
Practice address
501 Route 9
Waretown, NJ 08758-1743
Phone
(609) 971-6002
Fax
(609) 971-0257
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02411000 NJ
Pharmacist 183500000X 28RIO2411000 NJ Primary

Addresses

Primary practice location

501 Route 9
Waretown, NJ 08758-1743

Mailing address

501 Route 9 Ste 100
Waretown, NJ 08758-1751
Phone (609) 971-6002

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

LicenseStateTypeSpecialty
28RI02411000NJMDPharmacist
28RIO2411000NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saker Shoprites Inc PastSince Dec 13, 2020 Accepting new patients
Saker Shoprites Inc PastSince Dec 13, 2020 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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1639775877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROUTE 9 STE 100",
            "city": "WARETOWN",
            "state": "NJ",
            "postal_code": "087581751",
            "telephone_number": "609-971-6002",
            "fax_number": "609-971-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROUTE 9",
            "city": "WARETOWN",
            "state": "NJ",
            "postal_code": "087581743",
            "telephone_number": "609-971-6002",
            "fax_number": "609-971-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "LILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02411000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RIO2411000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waretown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.