Active NPI
David F Collins, R.P.
- Pharmacist
- Jersey City, NJ
National Provider Identifier
1821201906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01978200
- Practice address
- 570 Newark Ave
Jersey City, NJ 07306-2302 - Phone
- (201) 653-4093
- Fax
- (201) 222-1901
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI01978200 | NJ | Primary |
Addresses
Primary practice location
570 Newark Ave
Jersey City, NJ 07306-2302
Mailing address
441 South Ave
Fanwood, NJ 07023-1333
Phone (908) 889-4586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI01978200 | Other | NJ | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01978200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLC Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jersey City, NJ
- NPI 1770685794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821201906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 SOUTH AVE",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231333",
"telephone_number": "908-889-4586",
"fax_number": "201-222-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062302",
"telephone_number": "201-653-4093",
"fax_number": "201-222-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DAVID",
"middle_name": "F",
"credential": "R.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01978200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "28RI01978200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.