Lillian Burrell
Individual provider Active NPI Pharmacist · Waretown, NJ
NPI 1639775877 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1639775877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RIO2411000 (NJ)
- Practice address
- 501 Route 9
Waretown, NJ 08758-1743 - Phone
- (609) 971-6002
- Fax
- (609) 971-0257
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02411000 | NJ | MD | Pharmacist |
| 28RIO2411000 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saker Shoprites Inc | Past |
Accepting new patients | |
| Saker Shoprites Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02411000 | NJ | |
| Pharmacist | 183500000X | 28RIO2411000 | NJ | Yes |
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
Other providers in Waretown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.