Individual provider Active NPI

Shelley Fojas-Arceo

  • Pharmacist
  • Jersey City, NJ
National Provider Identifier
1720307648
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02693600 Issued in NJ
Practice address
100 14TH St
Jersey City, NJ 07310-1202
Phone
(201) 499-0018
Fax
(201) 499-0018
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02693600 NJ Primary

Addresses

Primary practice location

100 14TH St
Jersey City, NJ 07310-1202

Mailing address

100 14TH St
Jersey City, NJ 07310-1202
Phone (201) 499-0018

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

LicenseStateTypeSpecialty
28RI02693600NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1720307648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 14TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101202",
            "telephone_number": "201-499-0018",
            "fax_number": "201-499-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 14TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101202",
            "telephone_number": "201-499-0018",
            "fax_number": "201-499-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOJAS-ARCEO",
        "first_name": "SHELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02693600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.