Alberto A Brunetti, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01918900 Issued in NJ

Practice address

1409 Broad St
Bloomfield, NJ 07003-3001

Phone

(973) 338-4143

Fax

(973) 893-1623

NPI assigned

Dec 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• GLB Shop Associates LLC

  • Community/Retail Pharmacy
  • Bloomfield, NJ
  • NPI 1184739963
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1003412875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033001",
            "telephone_number": "973-338-4143",
            "fax_number": "973-893-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033001",
            "telephone_number": "973-338-4143",
            "fax_number": "973-893-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTI",
        "first_name": "ALBERTO",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01918900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broad St Pharmacy LLC
• Davaughn Brockett, BCBA
• Daniel S. Bromberg, PHD, ABPP
• Brookside Family Dental Corp
• Denise Michelle Brown, MSW, LSW
• Mariel Buque, PH.D.
• Walter Robert Burbella, P.T.
• Burgess Pharmacy, Inc
• Nathanael Valine Burrell, DPT
• Mikyle Shakira Byrd-Vaughn, ND

• All providers in Bloomfield, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.