Active NPI
Mark Ayirebi Ntiamoah
- Pharmacist
- Hackensack, NJ
National Provider Identifier
1164754552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03325900
- Practice address
- 360 Essex St
Hackensack, NJ 07601-8550 - Phone
- (201) 498-9670
- Fax
- (201) 498-9674
- NPI assigned
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03325900 | NJ | Primary |
Addresses
Primary practice location
360 Essex St
Hackensack, NJ 07601-8550
Mailing address
360 Essex St
Hackensack, NJ 07601-8550
Phone (201) 498-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03325900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Solutions Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1366959074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1164754552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 ESSEX ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076018550",
"telephone_number": "201-498-9670",
"fax_number": "201-498-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ESSEX ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076018550",
"telephone_number": "201-498-9670",
"fax_number": "201-498-9674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTIAMOAH",
"first_name": "MARK",
"middle_name": "AYIREBI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03325900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.