Frontier Health Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00683500 Issued in NJ

Legal business name

FRONTIER HEALTH SERVICES INC

Doing business as

Mazdabrook Pharmacy

Practice address

359 Smith Rd
Parsippany, NJ 07054-2805

Phone

(973) 887-3110

Fax

(973) 887-3112

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Yvonne Boadu

Title

President

Phone

(973) 887-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mazdabrook Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1104076850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 SMITH RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 SMITH RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542805",
            "telephone_number": "973-887-3110",
            "fax_number": "973-887-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "BOADU",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-887-1001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00683500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3195307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mazdabrook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.