Organization Active NPI

Darjen, Inc

  • Compounding Pharmacy
  • Palm Beach Gardens, FL
National Provider Identifier
1013348564
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
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

Updated by the provider on Oct 3, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014965000MedicaidFL
2143180OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Darjen Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.