Active NPI
Derek J Billetdoux, PHARM. D.
- Pharmacist
- West Berlin, NJ
National Provider Identifier
1881294254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RJ05377
- Practice address
- 265 N Route 73
West Berlin, NJ 08091-2500 - Phone
- (856) 753-8838
- NPI assigned
- Oct 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02607600 | NJ | |
| Pharmacist | 183500000X | 28RJ05377 | NJ | Primary |
Addresses
Primary practice location
265 N Route 73
West Berlin, NJ 08091-2500
Mailing address
PO Box 794
Mount Laurel, NJ 08054-0794
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02607600 | NJ | MD | Pharmacist |
| 28RJ05377 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1881294254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 794",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080540794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 N ROUTE 73",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080912500",
"telephone_number": "856-753-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLETDOUX",
"first_name": "DEREK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02607600",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RJ05377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Berlin, NJ
- Beacon Behavioral Health Services LLC (Beacon Behavioral Health Services)
- Sarah Beggs, MD
- Berat Corporation (Shoprite Pharmacy #531)
- Berlin Plaza Dental Associates, L.L.P.
- Berlin Township Schools
- Board of Education Berlin Township
- Jesse Ray Boyd
- Jayson Brewin, PHARM. D.
- Burlington County Spine & Rehabilitation LLC (Gloucester County Spine & RehabilitationLLC)
- Colin A Campbell, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.