Provider Demographics
NPI:1205004157
Name:HAMM, JOHN F (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:HAMM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 ALDO DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2467
Mailing Address - Country:US
Mailing Address - Phone:732-864-1912
Mailing Address - Fax:732-830-4863
Practice Address - Street 1:ROUTES 35 AND 37
Practice Address - Street 2:
Practice Address - City:ORTLEY BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08751-1034
Practice Address - Country:US
Practice Address - Phone:732-830-0800
Practice Address - Fax:732-830-4863
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01670200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI01670200OtherRPH STATE LICENSE NUMBER