Active NPI
Sam George, PHARMD
- Pharmacist
- Edgewater, NJ
National Provider Identifier
1750907549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04064400
- Practice address
- 65 River Rd
Edgewater, NJ 07020-1017 - Phone
- (201) 313-2254
- NPI assigned
- Jun 18, 2020
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04064400 | NJ | Primary |
Addresses
Primary practice location
65 River Rd
Edgewater, NJ 07020-1017
Mailing address
65 River Rd
Edgewater, NJ 07020-1017
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx08924@cvshealth.com | New Jersey CVS Pharmacy, L.L.C. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04064400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey CVS Pharmacy LLC | Past | Accepting new patients | |
| New Jersey CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- rx08924@cvshealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Flemington, NJ
- NPI 1255224549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1750907549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 RIVER RD",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 RIVER RD",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201017",
"telephone_number": "201-313-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2023-11-27",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04064400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rx08924@cvshealth.com",
"affiliation": "Y",
"affiliationName": "New Jersey CVS Pharmacy, L.L.C.",
"address_1": "65 River Rd",
"city": "Edgewater",
"state": "NJ",
"country_code": "US",
"postal_code": "070201017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.