Active NPI
Nancy Ruth Grossman, RPH
- Pharmacist
- Jackson, NJ
National Provider Identifier
1912216904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI16924
- Practice address
- 144 White Rd
Jackson, NJ 08527-5009 - Phone
- (732) 547-1678
- NPI assigned
- Sep 25, 2010
- Sex
- Female
- Sole proprietor
- No
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 | RI16924 | NJ | Primary |
Addresses
Primary practice location
144 White Rd
Jackson, NJ 08527-5009
Mailing address
144 White Rd
Jackson, NJ 08527-5009
Phone (732) 547-1678
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 |
|---|---|---|---|
| RI16924 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285372800000",
"number": "1912216904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 WHITE RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275009",
"telephone_number": "732-547-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 WHITE RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275009",
"telephone_number": "732-547-1678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "NANCY",
"middle_name": "RUTH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-25",
"last_updated": "2010-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI16924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.