Individual provider Active NPI

John Sabadics, PHARMD

  • Community/Retail Pharmacy
  • Belleville, NJ
National Provider Identifier
1255058301
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RI04277900 Issued in NJ
Practice address
597 Washington Ave
Belleville, NJ 07109-3333
Phone
(973) 450-0138
NPI assigned
Oct 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RI04277900 NJ Primary

Addresses

Primary practice location

597 Washington Ave
Belleville, NJ 07109-3333

Mailing address

69 Florence St
Nutley, NJ 07110-2958
Phone (201) 428-7667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.12079@store.walgreens.com

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI04277900NJMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Community/Retail Pharmacy CurrentSince Oct 23, 2022 Accepting new patients
Walgreen Co Community/Retail Pharmacy PastSince Oct 23, 2022 Accepting new patients

Locations

597 Washington Ave
Belleville, NJ 07109
Phone (973) 450-0138

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1255058301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FLORENCE ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102958",
            "telephone_number": "201-428-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093333",
            "telephone_number": "973-450-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABADICS",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RI04277900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.12079@store.walgreens.com",
            "affiliation": "N",
            "address_1": "597 Washington Ave",
            "city": "Belleville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071093333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

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