Individual provider Active NPI

Mary Ann Copperman

  • Pharmacist
  • Egg Harbor City, NJ
National Provider Identifier
1750601415
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RI22837 Issued in NJ
Practice address
1006 White Horse Pike
Egg Harbor City, NJ 08215-1821
Phone
(609) 965-0520
Fax
(609) 965-1953
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 RI22837 NJ Primary

Addresses

Primary practice location

1006 White Horse Pike
Egg Harbor City, NJ 08215-1821

Mailing address

102 Knights Bridge Way
Mays Landing, NJ 08330-2051
Phone (609) 829-2405

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
RI22837NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1750601415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KNIGHTS BRIDGE WAY",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302051",
            "telephone_number": "609-829-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 WHITE HORSE PIKE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151821",
            "telephone_number": "609-965-0520",
            "fax_number": "609-965-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPERMAN",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI22837",
            "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 Jun 4, 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.