Individual provider Active NPI

Ann M. Mewherter, R.PH.

  • Pharmacist
  • Lawnside, NJ
National Provider Identifier
1730358177
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP 027689 L Issued in PA
Practice address
130 White Horse Pike N
Lawnside, NJ 08045-1128
Phone
(856) 546-5111
Fax
(856) 672-9346
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28 RI 02164700 NJ
Pharmacist 183500000X RP 027689 L PA Primary

Addresses

Primary practice location

130 White Horse Pike N
Lawnside, NJ 08045-1128

Mailing address

10 Dewberry Dr
Hamilton, NJ 08610-1312
Phone (609) 585-7062

Other identifiers 2

IdentifierTypeStateIssuer
28RI02164700OtherNJNJ RPH STATE LICENSE NUM
RP 027689LOtherPAPA RPH STATE LICENSE NUM

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28 RI 02164700NJMDPharmacist
RP 027689 LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1730358177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DEWBERRY DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101312",
            "telephone_number": "609-585-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WHITE HORSE PIKE N",
            "city": "LAWNSIDE",
            "state": "NJ",
            "postal_code": "080451128",
            "telephone_number": "856-546-5111",
            "fax_number": "856-672-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWHERTER",
        "first_name": "ANN",
        "middle_name": "M.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28 RI 02164700",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP 027689 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ RPH STATE LICENSE NUM",
            "identifier": "28RI02164700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA RPH STATE LICENSE NUM",
            "identifier": "RP 027689L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawnside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.