Julia Grace Macneill
Individual provider Active NPI Pharmacist · Wildwood, NJ
NPI 1811278005 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1811278005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03361200 (NJ)
- Practice address
- 5000 Park Blvd
Wildwood, NJ 08260-1428 - Phone
- (609) 522-1291
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03361200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03361200 | NJ | Yes |
Addresses
Primary practice location
5000 Park Blvd
Wildwood, NJ 08260-1428
Mailing address
1462 Wallace St
Vineland, NJ 08360-4345
Phone (609) 247-0925
Other providers in Wildwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.