Individual provider Active NPI

Robin B. Defure, RP

  • Pharmacist
  • Toms River, NJ
National Provider Identifier
1649531666
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01528500 Issued in NJ
Practice address
1256 Indian Head Rd
Toms River, NJ 08755-4075
Phone
(732) 505-6446
Fax
(732) 349-6318
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01528500 NJ Primary

Addresses

Primary practice location

1256 Indian Head Rd
Toms River, NJ 08755-4075

Mailing address

345 Roberts Ave
Seaside Park, NJ 08752-2044
Phone (732) 793-6341

Other identifiers 1

IdentifierTypeStateIssuer
4412702MedicaidNJ

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
28RI01528500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathmark Stores Inc Past Accepting new patients

Organizations & group practices 1

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1649531666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ROBERTS AVE",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "087522044",
            "telephone_number": "732-793-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 INDIAN HEAD RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554075",
            "telephone_number": "732-505-6446",
            "fax_number": "732-349-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFURE",
        "first_name": "ROBIN",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "RP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01528500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.