Blooming Health LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BLOOMING HEALTH LLC

Doing business as

Park Ridge Pharmacy

Practice address

40 Park Ave
Store 5
Park Ridge, NJ 07656

Phone

(201) 554-2200

Fax

(201) 554-2300

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amgad WassefNPI 1588228944

Title

Pharmacist

Phone

(914) 886-2253

Specialties & licenses 1

Addresses

Other names 1

• Park Ridge Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amgad Wassef, RPH, MBA

  • Community/Retail Pharmacy
  • Park Ridge, NJ
  • NPI 1588228944
  NPD Authorized official
• Michele S Cushing-Hennessy, RPH

  • Pharmacist
  • Park Ridge, NJ
  • NPI 1396315917
  NPD
• Nicholas Carmine Todaro

  • Pharmacist
  • Park Ridge, NJ
  • NPI 1659027175
  NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1104596840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "address_2": "STORE 5",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "07656",
            "telephone_number": "201-554-2200",
            "fax_number": "201-554-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "address_2": "STORE 5",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "07656",
            "telephone_number": "201-554-2200",
            "fax_number": "201-554-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "914-886-2253"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Lyn Barone, D.C.
• Arthur Scot Barthold, R.PH.
• Jorge Becerra
• Ava Luciana Berenato, LAC
• Shayna Berkowitz
• Blooming Health LLC (Park Ridge Pharmacy)
• Stephanie Blum, LPC, LMHC
• Evan Bracconeri, DPT
• Keri Bratcher, PT, MPT
• Evalynne Velez Braun, M.D.

• Long Term Care Pharmacy in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.