Janice Dedeo, RPH
Individual provider Active NPI Pharmacist · Morris Plains, NJ
NPI 1275865685 · NPPES record last updated Feb 10, 2010
Key facts
- NPI
- 1275865685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI01796600 (NJ)
- Practice address
- 712 Speedwell Ave
Morris Plains, NJ 07950-2269 - Phone
- (973) 539-3635
- Fax
- (973) 539-8447
- NPI assigned
- Feb 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01796600 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01796600 | NJ | Yes |
Addresses
Primary practice location
712 Speedwell Ave
Morris Plains, NJ 07950-2269
Mailing address
712 Speedwell Ave
Morris Plains, NJ 07950-2269
Phone (973) 539-3635
Other providers in Morris Plains, NJ
- CSH Morris Plains Lessee, LLC
- Stephanie D'Amore
- John C. Daily
- Angel Enrique De Dios Quintero
- Lorenzo G. De Los Angeles
- Michael Defilippo
- Jonathan Dejesus
- Elizabeth Delguercio
- Gina Delli Bovi
- Mallory Demarco
All providers in Morris Plains, NJ · Pharmacist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.