Active NPI
Rose Rutledge
- Pharmacy Technician
- Burlington, NJ
National Provider Identifier
1942693205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 28RW00551200
- Practice address
- 2703 Route 541
Burlington, NJ 08016-4175 - Phone
- (609) 239-9893
- Fax
- (609) 479-4463
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 28RW00551200 | NJ | Primary |
Addresses
Primary practice location
2703 Route 541
Burlington, NJ 08016-4175
Mailing address
2703 Route 541
Burlington, NJ 08016-4175
Phone (609) 239-9893
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RW00551200 | NJ | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1942693205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 ROUTE 541",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080164175",
"telephone_number": "609-239-9893",
"fax_number": "609-479-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 ROUTE 541",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080164175",
"telephone_number": "609-239-9893",
"fax_number": "609-479-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "ROSE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW00551200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.