Active NPI
Edward Karl Levy, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Haledon, NJ
National Provider Identifier
1659653129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 28RI01394300
- Practice address
- 431 Haledon Ave
Haledon, NJ 07508-1555 - Phone
- (973) 904-0550
- NPI assigned
- Sep 12, 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 28RI01394300 | NJ | Primary |
Addresses
Primary practice location
431 Haledon Ave
Haledon, NJ 07508-1555
Mailing address
250 Ridgedale Ave
Unit R8
Florham Park, NJ 07932-1319
Phone (201) 738-3258
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01394300 | NJ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1659653129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 RIDGEDALE AVE",
"address_2": "UNIT R8",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321319",
"telephone_number": "201-738-3258",
"fax_number": "973-410-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 HALEDON AVE",
"city": "HALEDON",
"state": "NJ",
"postal_code": "075081555",
"telephone_number": "973-904-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "EDWARD",
"middle_name": "KARL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NJ",
"license": "28RI01394300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.