Active NPI
Teresa Celona Brittin, R.PH.
- Pharmacist
- Marmora, NJ
National Provider Identifier
1922696608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02029800
- Practice address
- 38 Tuckahoe Rd
Marmora, NJ 08223-1206 - Phone
- (609) 390-9594
- Fax
- (609) 390-9676
- NPI assigned
- Jan 7, 2021
- Last updated
- Jan 7, 2021
- 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 | 28RI02029800 | NJ | Primary |
Addresses
Primary practice location
38 Tuckahoe Rd
Marmora, NJ 08223-1206
Mailing address
38 Tuckahoe Rd
Marmora, NJ 08223-1206
Phone (609) 390-9594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7901500 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.njiis.nj.gov/ | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 28RI02029800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Village Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Village Pharmacy
- Community/Retail Pharmacy
- Marmora, NJ
- NPI 1225136237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1922696608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 TUCKAHOE RD",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231206",
"telephone_number": "609-390-9594",
"fax_number": "609-390-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 TUCKAHOE RD",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231206",
"telephone_number": "609-390-9594",
"fax_number": "609-390-9676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTIN",
"first_name": "TERESA",
"middle_name": "CELONA",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02029800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901500",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.njiis.nj.gov/",
"affiliation": "N",
"endpointDescription": "NJIIS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "38 Tuckahoe Rd",
"city": "Marmora",
"state": "NJ",
"country_code": "US",
"postal_code": "082231206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marmora, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.