1184841918 NPI number — DR. ANN UNSINN PHARM.D., R.PH.

Table of content: DR. ANN UNSINN PHARM.D., R.PH. (NPI 1184841918)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184841918 NPI number — DR. ANN UNSINN PHARM.D., R.PH.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UNSINN
Provider First Name:
ANN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D., R.PH.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184841918
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
10/25/2011
NPI Reactivation Date:
07/15/2014

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 WATER STREET
Provider Second Line Business Mailing Address:
RITE AID PHARMACY
Provider Business Mailing Address City Name:
RED BANK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-747-3727
Provider Business Mailing Address Fax Number:
732-758-6529

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 TARA DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MATAWAN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-566-4438
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  28RJ00498 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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