Rene Javier Rodriguez, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03228500 Issued in NJ

Practice address

178 Eagle Rock Ave Ste 4
Roseland, NJ 07068-1341

Phone

(973) 226-1200

NPI assigned

Jan 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Rebel RX LLC

  • Community/Retail Pharmacy
  • Roseland, NJ
  • NPI 1851709943
  NPD Authorized official

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1154073336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 EAGLE ROCK AVE STE 4",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681341",
            "telephone_number": "973-226-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 EAGLE ROCK AVE STE 4",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681341",
            "telephone_number": "973-226-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RENE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03228500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rasko, CCC-SLP
• Rebel RX LLC
• Reimagined Mind Counseling and Consultation LLC
• Renren Acupuncture and Herbal Clinic LLC
• Marisa Rodriguez
• Romulo a. Aromin, Jr., MD, LLC
• Roseland Ambulatory Surgery Center, LLC
• Roseland Eye Care
• Roseland First Aid Squad
• Roseland Psychotherapy Associates LLC

• Pharmacist in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.