Individual provider Active NPI

Kate Emily Maricich, PHARM.D

  • Pharmacist
  • Saddle Brook, NJ
National Provider Identifier
1285391672
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04221600 Issued in NJ
Practice address
568 Beech Ave
Saddle Brook, NJ 07663-4428
Phone
(201) 452-7040
NPI assigned
Nov 20, 2021
Last updated
Nov 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04221600 NJ Primary

Addresses

Primary practice location

568 Beech Ave
Saddle Brook, NJ 07663-4428

Mailing address

568 Beech Ave
Saddle Brook, NJ 07663-4428
Phone (201) 452-7040

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
28RI04221600NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1285391672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 BEECH AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634428",
            "telephone_number": "201-452-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 BEECH AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634428",
            "telephone_number": "201-452-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICICH",
        "first_name": "KATE",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04221600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.