Individual provider Active NPI

Robert John Kertman, RPH

  • Pharmacist
  • Cinnaminson, NJ
National Provider Identifier
1982173597
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01520100 Issued in NJ
Practice address
1210 Route 130 N Ste 1408
Cinnaminson, NJ 08077-3046
Phone
(856) 829-7200
Fax
(856) 829-0464
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01520100 NJ Primary

Addresses

Primary practice location

1210 Route 130 N Ste 1408
Cinnaminson, NJ 08077-3046

Mailing address

235 Bells Lake Rd # 2
Turnersville, NJ 08012-1683
Phone (856) 232-6284

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
28RI01520100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Jersey Inc Past Accepting new patients
Rite Aid of New Jersey Inc Past Accepting new patients

Organizations & group practices 2

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1982173597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BELLS LAKE RD # 2",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121683",
            "telephone_number": "856-232-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROUTE 130 N STE 1408",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773046",
            "telephone_number": "856-829-7200",
            "fax_number": "856-829-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTMAN",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01520100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.