Active NPI
Randa Abbo, RPH
- Pharmacist
- Totowa, NJ
National Provider Identifier
1174744023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03045900
- Practice address
- 11 Commerce Way
Totowa, NJ 07512-1154 - Phone
- (973) 812-9100
- Fax
- (973) 812-1058
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03045900 | NJ | Primary |
| Pharmacist | 183500000X | 047322 | NY |
Addresses
Primary practice location
11 Commerce Way
Totowa, NJ 07512-1154
Mailing address
94 Point View Pkwy
Wayne, NJ 07470-2064
Phone (973) 706-8518
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03045900 | NJ | MD | Pharmacist |
| 047322 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174744023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 POINT VIEW PKWY",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702064",
"telephone_number": "973-706-8518",
"fax_number": "973-812-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 COMMERCE WAY",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075121154",
"telephone_number": "973-812-9100",
"fax_number": "973-812-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBO",
"first_name": "RANDA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03045900",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Totowa, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.