Active NPI
Edward Ponzini, RPH
- Pharmacist
- Wayne, NJ
National Provider Identifier
1275387672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02019200
- Practice address
- 879 Black Oak Ridge Rd
Wayne, NJ 07470-6400 - Phone
- (973) 837-8770
- Fax
- (973) 837-8771
- NPI assigned
- Apr 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI02019200 | NJ | Primary |
Addresses
Primary practice location
879 Black Oak Ridge Rd
Wayne, NJ 07470-6400
Mailing address
879 Black Oak Ridge Rd
Wayne, NJ 07470-6400
Phone (973) 837-8770
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 |
|---|---|---|---|
| 28RI02019200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Team Inc | Current | Accepting new patients | |
| Bop RX Inc | Current | Accepting new patients | |
| RX Group Inc | Current | Accepting new patients |
Organizations & group practices 3
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": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1275387672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 BLACK OAK RIDGE RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706400",
"telephone_number": "973-837-8770",
"fax_number": "973-837-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 BLACK OAK RIDGE RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706400",
"telephone_number": "973-837-8770",
"fax_number": "973-837-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONZINI",
"first_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02019200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.