Anthony Affigato, R.PH.
Individual provider Active NPI Pharmacist · Beverly, NJ
NPI 1831451418 · NPPES record last updated Jun 11, 2012
Key facts
- NPI
- 1831451418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI01555400 (NJ)
- Practice address
- 2110 Rte 130
Beverly, NJ 08010-3103 - Phone
- (609) 871-1550
- Fax
- (609) 877-7719
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01555400 | NJ | MD | Pharmacist |
| RP035037R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients | |
| Pathmark Stores Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01555400 | NJ | Yes |
| Pharmacist | 183500000X | RP035037R | PA |
Addresses
Primary practice location
2110 Rte 130
Beverly, NJ 08010-3103
Mailing address
2110 RT 130
Beverly, NJ 08010-3103
Phone (609) 871-1550
Other providers in Beverly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2012. 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.