Sergio Canabal, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02786100 Issued in NJ

Practice address

368 Broadway
Paterson, NJ 07501-2105

Phone

(973) 413-2169

NPI assigned

Sep 8, 2011

Sex

Male

Sole proprietor

No

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

Locations

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.

• Walgreen Co

  • Pharmacy
  • Paterson, NJ
  • NPI 1396255691
  NPD
• Walgreen Eastern Co, Inc

  • Pharmacy
  • Linden, NJ
  • NPI 1639184625
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Eastern Co Inc

  • Pharmacy
  • Brookhaven, PA
  • NPI 1215942206
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1043591738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012105",
            "telephone_number": "973-413-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012105",
            "telephone_number": "973-413-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANABAL",
        "first_name": "SERGIO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02786100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvary Baptist Adult Medical Day Care
• Leida J Calvo
• Dannele Campbell
• Karina Campos
• Can-DO Transportation Services Inc
• Martha Candler
• Tory Kyle Cange, MD
• Dayana Alexandra Cannan, PA-C
• Dao Cao, DDS
• Arnetta C Capers

• Pharmacist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.