Humberto Rafael Jimenez, PHARM.D., BCPS

Primary specialty

PharmacistTaxonomy code 183500000X

License

02864900 Issued in NJ

Practice address

111 Central Ave
Pharmacy Department
Newark, NJ 07102-1909

Phone

(973) 877-5458

NPI assigned

Mar 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205539200000",
    "number": "1275704496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 PARK AVE # 2",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070865985",
            "telephone_number": "201-600-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "HUMBERTO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-15",
        "last_updated": "2008-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "02864900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "02864900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JG Ventures Inc (Comfort House)
• Jie-Gen Jiang, MD
• Wan Jiao, MD, PHD
• Maria Jijo, MBBS
• Daniel Gabriel Jimenez, MD
• Juan Esteban Jimenez, MD
• JLS Medical PC (Wellbrook Health)
• Katherine S Jo, DMD
• Sebastien Joachim
• Joaquim J. Correia, MD LLC

• Pharmacist in Newark, NJ
• Providers in Newark, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.