Active NPI
Iris Mojica
- Ambulatory Care Pharmacist
- Weehawken, NJ
National Provider Identifier
1104325190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 28RI03197400
- Practice address
- Acme Pharmacy 4100 Park Avenue
Weehawken, NJ 07086 - Phone
- (201) 583-6860
- NPI assigned
- Feb 6, 2018
- Last updated
- Feb 6, 2018
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 28RI03197400 | NJ | Primary |
Addresses
Primary practice location
Acme Pharmacy 4100 Park Avenue
Weehawken, NJ 07086
Mailing address
1350 15TH St. Apt. 5-D
Fort Lee, NJ 07024
Phone (646) 522-2367
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 |
|---|---|---|---|
| 28RI03197400 | NJ | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1104325190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 15TH ST. APT. 5-D",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024",
"telephone_number": "646-522-2367",
"fax_number": "646-522-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ACME PHARMACY 4100 PARK AVENUE",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "07086",
"telephone_number": "201-583-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOJICA",
"first_name": "IRIS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NJ",
"license": "28RI03197400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weehawken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.