John Michael Obrien, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01946200 Issued in NJ

Practice address

1965 Rte 57
Shop Rite Pharmacy
Hackettstown, NJ 07840-3475

Phone

(908) 852-2309

Fax

(908) 852-0860

NPI assigned

Feb 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1700150349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 RTE 57",
            "address_2": "SHOP RITE PHARMACY",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403475",
            "telephone_number": "908-852-2309",
            "fax_number": "908-852-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 RTE 57",
            "address_2": "SHOP RITE PHARMACY",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403475",
            "telephone_number": "908-852-2309",
            "fax_number": "908-852-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01946200",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP444535",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF PHARMACY",
            "identifier": "28RI01946200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise D. Novaky, PH.D.
• Dana Nucera
• Erin O'Donoghue, P.A.
• Alexis O'Grady, OTR/L
• Patricia O'Shea, MSPT
• Obstetrics and Gynecology Associates, P.a.
• Nkemamaka Chinenyenwa Okpala, MD
• Tara Olivo-Moore, FNP
• Edgardo A Ong, MD
• Edward S. Orenstein I

• Pharmacist in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.