Active NPI
Susan Eardley, RPH
- Pharmacist
- Hasbrouck Heights, NJ
National Provider Identifier
1871807396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI02614700
- Practice address
- 450 Boulevard
Hasbrouck Heights, NJ 07604-1518 - Phone
- (201) 288-0404
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- 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 | RI02614700 | NJ | Primary |
Addresses
Primary practice location
450 Boulevard
Hasbrouck Heights, NJ 07604-1518
Mailing address
81 Woodlawn Ave
Clifton, NJ 07013-4010
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
| License | State | Type | Specialty |
|---|---|---|---|
| RI02614700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bejay Pharmacy Inc | Past | Accepting new patients | |
| Bejay Pharmacy Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hasbrouck Heights, NJ
- NPI 1245245893
-
- Long Term Care Pharmacy
- Hasbrouck Heights, NJ
- NPI 1447015458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1871807396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 WOODLAWN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070134010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BOULEVARD",
"city": "HASBROUCK HEIGHTS",
"state": "NJ",
"postal_code": "076041518",
"telephone_number": "201-288-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARDLEY",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI02614700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hasbrouck Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.