Active NPI
Jephte Alexandre
- Pharmacist
- Maplewood, NJ
National Provider Identifier
1679719538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03015800
- Practice address
- 14 Peachtree Rd
Maplewood, NJ 07040-1931 - Phone
- (862) 371-2569
- NPI assigned
- Dec 25, 2008
- Last updated
- Dec 25, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03015800 | NJ | Primary |
Addresses
Primary practice location
14 Peachtree Rd
Maplewood, NJ 07040-1931
Mailing address
845 Sandford Ave # 854
Newark, NJ 07106-3674
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 |
|---|---|---|---|
| 28RI03015800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konicy Corp | Current | Accepting new patients | |
| Apollo Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Live Well Pharmacy
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1245968353
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1770011371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230163200000",
"number": "1679719538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SANDFORD AVE # 854",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071063674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PEACHTREE RD",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401931",
"telephone_number": "862-371-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDRE",
"first_name": "JEPHTE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-25",
"last_updated": "2008-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03015800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.