Individual provider Active NPI

Nancy Ruth Grossman, RPH

  • Pharmacist
  • Jackson, NJ
National Provider Identifier
1912216904
Registry record updated Sep 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RI16924 Issued in NJ
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

Updated by the provider on Sep 25, 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 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

LicenseStateTypeSpecialty
RI16924NJMDPharmacist

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.

Verify at the official NPI Registry.