Active NPI
Rasheedat Kemi Momoh
- Pharmacist
- Roselle, NJ
National Provider Identifier
1093566887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04362700
- Practice address
- 107 E 1St Ave
Roselle, NJ 07203-1209 - Phone
- (908) 245-7848
- NPI assigned
- Mar 29, 2024
- Last updated
- Mar 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04362700 | NJ | Primary |
Addresses
Primary practice location
107 E 1St Ave
Roselle, NJ 07203-1209
Mailing address
1714 Summit PL NW Apt 102
Washington, DC 20009-2948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04362700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1093566887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 SUMMIT PL NW APT 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E 1ST AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072031209",
"telephone_number": "908-245-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMOH",
"first_name": "RASHEEDAT",
"middle_name": "KEMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04362700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.