Active NPI
Sherly Thomas
- Community/Retail Pharmacy
- Edison, NJ
National Provider Identifier
1649790312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25RI03364300
- Practice address
- 4 Brunswick Ave
Edison, NJ 08817-2500 - Phone
- (732) 777-1717
- Fax
- (732) 777-1449
- NPI assigned
- Jun 23, 2017
- Last updated
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 25RI03364300 | NJ | Primary |
Addresses
Primary practice location
4 Brunswick Ave
Edison, NJ 08817-2500
Mailing address
4405 Hana Rd
Edison, NJ 08817-2028
Phone (201) 736-1640
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 |
|---|---|---|---|
| 25RI03364300 | NJ | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasim Corporation | Current | Accepting new patients | |
| Wasim Corporation | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
4 Brunswick Ave
Edison, NJ 08817
Phone (732) 777-1717
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": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1649790312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 HANA RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172028",
"telephone_number": "201-736-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BRUNSWICK AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172500",
"telephone_number": "732-777-1717",
"fax_number": "732-777-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "25RI03364300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.