Individual provider Active NPI

Heather Lynn Fascia, PHARMD

  • Pharmacist
  • Egg Harbor City, NJ
National Provider Identifier
1720489784
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03659500 Issued in NJ
Practice address
4810 Old Egg Harbor Rd
Egg Harbor City, NJ 08215-4126
Phone
(609) 965-6336
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03659500 NJ Primary

Addresses

Primary practice location

4810 Old Egg Harbor Rd
Egg Harbor City, NJ 08215-4126

Mailing address

4810 Old Egg Harbor Rd
Egg Harbor City, NJ 08215-4126
Phone (609) 965-6336

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
28RI03659500NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1720489784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 OLD EGG HARBOR RD",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154126",
            "telephone_number": "609-965-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 OLD EGG HARBOR RD",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154126",
            "telephone_number": "609-965-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIA",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03659500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.