Sidra Naz
Individual provider Active NPI Pharmacist · Fords, NJ
NPI 1134819865 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1134819865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI04249400 (NJ)
- Practice address
- 37 Mary Ave
Fords, NJ 08863-1712 - Phone
- (917) 442-7100
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04249400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JNJ Pharma LLC | Current | Accepting new patients | |
| JNJ Pharma LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 28RI04249400 | NJ | Yes |
Addresses
Primary practice location
37 Mary Ave
Fords, NJ 08863-1712
Mailing address
37 Mary Ave
Fords, NJ 08863-1712
Phone (917) 442-7100
Other providers in Fords, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. 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.