Colleen Ann O'Rourke, RPH
Individual provider Active NPI Pharmacist · Netcong, NJ
NPI 1144595166 · NPPES record last updated Mar 9, 2012
Key facts
- NPI
- 1144595166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02213100 (NJ)
- Practice address
- 75 US Highway 46
Netcong, NJ 07857-1400 - Phone
- (973) 347-3795
- NPI assigned
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02213100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronetco Supermarkets, Inc | Past | Accepting new patients | |
| Ronetco Supermarkets, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02213100 | NJ | Yes |
Addresses
Primary practice location
75 US Highway 46
Netcong, NJ 07857-1400
Mailing address
285 Franklin Ave
Rockaway, NJ 07866-3409
Phone (973) 625-4505
Other providers in Netcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2012. 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.