Individual provider Active NPI

Svetislav Milic, R.PH.

  • Pharmacist
  • Colonia, NJ
National Provider Identifier
1962425447
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RI24285 Issued in NJ
Practice address
515 Inman Ave
Colonia, NJ 07067-1114
Phone
(732) 381-3400
Fax
(732) 381-3464
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RI24285 NJ Primary

Addresses

Primary practice location

515 Inman Ave
Colonia, NJ 07067-1114

Mailing address

515 Inman Ave
Colonia, NJ 07067-1114
Phone (732) 381-3400

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
RI24285NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Colonia Natural Pharmacy, Inc. Pharmacist Current Accepting new patients

Locations

515 Inman Ave
Colonia, NJ 07067
Phone (732) 381-3400

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1962425447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671114",
            "telephone_number": "732-381-3400",
            "fax_number": "731-381-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671114",
            "telephone_number": "732-381-3400",
            "fax_number": "732-381-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIC",
        "first_name": "SVETISLAV",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI24285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.