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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01613000 | NJ | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmville, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Avidd Community Services
- Walter Michael Bakun
- Ravi Baliga
- Jessica Lynn Barnes
- Jessica Battagliese
- Robert J. Becker
- Alissa Behar
- Shannon Alayna Bey
- Inderpal Kaur Bhathal
- Rudresh G Bhatt
All providers in Morris Plains, NJ · Pharmacist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.