Individual provider Active NPI

Sandra Marcy Scillath, RPH

  • Pharmacist
  • Toms River, NJ
National Provider Identifier
1871802728
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01967200 Issued in NJ
Practice address
882 Chivas Dr
Toms River, NJ 08753-3582
Phone
(732) 929-8876
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 28RI01967200 NJ Primary

Addresses

Primary practice location

882 Chivas Dr
Toms River, NJ 08753-3582

Mailing address

882 Chivas Dr
Toms River, NJ 08753-3582
Phone (732) 929-8876

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01967200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1871802728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 CHIVAS DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533582",
            "telephone_number": "732-929-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 CHIVAS DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533582",
            "telephone_number": "732-929-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCILLATH",
        "first_name": "SANDRA",
        "middle_name": "MARCY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01967200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.