Direct Meds of Dover

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00646000 Issued in NJ

Legal business name

DIRECT MEDS OF DOVER

Practice address

400 W Blackwell St
Dover, NJ 07801-2525

Phone

(973) 989-3119

Fax

(201) 585-2119

NPI assigned

Sep 20, 2006

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Munr Kazmir

Title

Ceo

Phone

(201) 585-0616

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1255438453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-989-3119",
            "fax_number": "201-585-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-989-3119",
            "fax_number": "201-585-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDS OF DOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "KAZMIR",
        "authorized_official_first_name": "MUNR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-585-0616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00646000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100846",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Diaz, LSW
• Erik Scott Dickerson, D.D.S
• Scott Elliott Dickerson, D.M.D
• Brandon Dill, LSW
• Zoey Gail Dimarco, DMD
• Doc in a Car P.a.
• Patrick Joseph Dolan, OTR/L,CHT
• Nicholette Donoghue, PMHNP-BC
• Aleksandra Dontsova, AGACNP-BC
• Dover Board of Education

• Community/Retail Pharmacy in Dover, NJ
• Providers in Dover, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.