Active NPI
Cristen Alysse Whittaker, PHARMD
- Pharmacist
- Pomona, NJ
National Provider Identifier
1992274344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03870600
- Practice address
- 65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102 - Phone
- (856) 357-7701
- NPI assigned
- Nov 15, 2018
- Last updated
- Nov 15, 2018
- 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 | 28RI03870600 | NJ | Primary |
Addresses
Primary practice location
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Mailing address
861 Anthony Rd
Atco, NJ 08004-1254
Phone (856) 357-7701
Other practice location 1
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (856) 357-7701
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03870600 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1992274344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 ANTHONY RD",
"city": "ATCO",
"state": "NJ",
"postal_code": "080041254",
"telephone_number": "856-357-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 W JIMMIE LEEDS RD",
"city": "POMONA",
"state": "NJ",
"postal_code": "082409102",
"telephone_number": "856-357-7701"
}
],
"practiceLocations": [
{
"address_1": "65 W Jimmie Leeds Rd",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "NJ",
"postal_code": "082409102",
"country_code": "US",
"telephone_number": "856-357-7701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTAKER",
"first_name": "CRISTEN",
"middle_name": "ALYSSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03870600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.