Active NPI
Darjen, Inc
- Compounding Pharmacy
- Palm Beach Gardens, FL
National Provider Identifier
1013348564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- DARJEN, INC
- Practice address
- 10358 Riverside Dr Ste 140
Palm Beach Gardens, FL 33410-4203 - Phone
- (561) 557-1645
- Fax
- (561) 557-1649
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Notartomaso
- Title
- President
- Phone
- (561) 557-1645
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | PH27069 | FL | |
| Compounding Pharmacy | 3336C0004X | FL | Primary |
Addresses
Primary practice location
10358 Riverside Dr Ste 140
Palm Beach Gardens, FL 33410-4203
Mailing address
10358 Riverside Dr Ste 140
Palm Beach Gardens, FL 33410-4203
Phone (561) 557-1645
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014965000 | Medicaid | FL | |
| 2143180 | Other | PK |
National Provider Directory
National Provider Directory- Tax ID family
- Darjen Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Palm Beach Gardens, FL
- NPI 1164587598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506988800000",
"number": "1013348564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10358 RIVERSIDE DR STE 140",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104203",
"telephone_number": "561-557-1645",
"fax_number": "561-557-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10358 RIVERSIDE DR STE 140",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104203",
"telephone_number": "561-557-1645",
"fax_number": "561-557-1649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARJEN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2017-10-03",
"status": "A",
"authorized_official_last_name": "NOTARTOMASO",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-557-1645"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "FL",
"license": "PH27069",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014965000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2143180",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.