Therea Battista, R.PH.

Individual provider Active NPI Pharmacist · Morris Plains, NJ

NPI 1104367895 · NPPES record last updated Mar 14, 2017

Key facts

NPI
1104367895
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI01613000 (NJ)
Practice address
54 Poplar Dr
Morris Plains, NJ 07950-3231
Phone
(201) 602-3840
Fax
(973) 993-9999
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01613000NJMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmville, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01613000 NJ Yes
Geriatric Pharmacist 1835G0303X 28RI01613000 NJ
Nutrition Support Pharmacist 1835N1003X 28RI01613000 NJ
Ambulatory Care Pharmacist 1835P2201X 28RI01613000 NJ

Addresses

Primary practice location

54 Poplar Dr
Morris Plains, NJ 07950-3231

Mailing address

54 Poplar Dr
Morris Plains, NJ 07950-3231
Phone (201) 602-3840

Other providers in Morris Plains, NJ

All providers in Morris Plains, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.