Individual provider Active NPI

Josuee Anne Mertyl, PHARM-D

  • Pharmacist
  • Elizabeth, NJ
National Provider Identifier
1669660171
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02955000 Issued in NJ
Practice address
38 Aberdeen Rd
Elizabeth, NJ 07208-2302
Phone
(908) 370-8546
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02955000 NJ Primary

Addresses

Primary practice location

38 Aberdeen Rd
Elizabeth, NJ 07208-2302

Mailing address

38 Aberdeen Rd
Elizabeth, NJ 07208-2302
Phone (908) 370-8546

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI02955000NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1669660171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ABERDEEN RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082302",
            "telephone_number": "908-370-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ABERDEEN RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082302",
            "telephone_number": "908-370-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTYL",
        "first_name": "JOSUEE",
        "middle_name": "ANNE",
        "credential": "PHARM-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02955000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.