Individual provider Active NPI

Julie Borlaug

  • Pharmacist
  • Mount Holly, NJ
National Provider Identifier
1902260730
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RI02920800 Issued in NJ
Practice address
531 High St
Mt Holly, NJ 08060-1032
Phone
(609) 702-1784
Fax
(609) 702-1253
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RI02920800 NJ Primary
Pharmacist 183500000X 3757 MT

Addresses

Primary practice location

531 High St
Mt Holly, NJ 08060-1032

Mailing address

531 High St
Mt Holly, NJ 08060-1032
Phone (609) 704-1784

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

LicenseStateTypeSpecialty
3757MTMDPharmacist
RI02920800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1902260730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HIGH ST",
            "city": "MT HOLLY",
            "state": "NJ",
            "postal_code": "080601032",
            "telephone_number": "609-704-1784",
            "fax_number": "609-702-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HIGH ST",
            "city": "MT HOLLY",
            "state": "NJ",
            "postal_code": "080601032",
            "telephone_number": "609-702-1784",
            "fax_number": "609-702-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLAUG",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI02920800",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "3757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.