Active NPI
Eric Brian Pullen, RP
- Pharmacist
- Columbus, NJ
National Provider Identifier
1649547621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01991800
- Practice address
- 25 Homestead Drive Suite F
Boyds Pharmacy of Mansfield,Inc
Columbus, NJ 08022 - Phone
- (609) 298-7474
- Fax
- (609) 298-6811
- NPI assigned
- Nov 19, 2011
- 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 | 28RI01991800 | NJ | Primary |
Addresses
Primary practice location
25 Homestead Drive Suite F
Boyds Pharmacy of Mansfield,Inc
Columbus, NJ 08022
Mailing address
25 Homestead Drive Suite F
Boyds Pharmacy of Mansfield,Inc
Columbus, NJ 08022
Phone (609) 298-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4394101 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01991800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boyd's Pharmacy of Mansfield, Inc | Pharmacist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1649547621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HOMESTEAD DRIVE SUITE F",
"address_2": "BOYDS PHARMACY OF MANSFIELD,INC",
"city": "COLUMBUS",
"state": "NJ",
"postal_code": "08022",
"telephone_number": "609-298-7474",
"fax_number": "609-298-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HOMESTEAD DRIVE SUITE F",
"address_2": "BOYDS PHARMACY OF MANSFIELD,INC",
"city": "COLUMBUS",
"state": "NJ",
"postal_code": "08022",
"telephone_number": "609-298-7474",
"fax_number": "609-298-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEN",
"first_name": "ERIC",
"middle_name": "BRIAN",
"credential": "RP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-19",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01991800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4394101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NJ
- Steven J Platt, MPT,ATC
- Prathibha Potharlanka LLC (Advance Medicine and Wellness)
- Premier Medicine Associates PA
- Puccio Chiropractic LLC
- Nicholas Andrew Puccio, D.C.
- Mackenzie Logan Purr, PT, DPT
- Brandi J Rappaport, MD
- Hajira Naaz Razak, M.D.
- Howard William Redlus, DVM
- Refuge Chiropractic LLC (Refuge Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.