Individual provider Active NPI

Teresa Celona Brittin, R.PH.

  • Pharmacist
  • Marmora, NJ
National Provider Identifier
1922696608
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02029800 Issued in NJ
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7901500MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
28RI02029800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Village Pharmacies Inc PastSince Jan 10, 2021 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.

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.

Verify at the official NPI Registry.