Lina Isabel Diaz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02707200 Issued in NJ

Practice address

993 McBride Ave
Woodland Park, NJ 07424-2534

Phone

(973) 256-0144

Fax

(973) 256-8995

NPI assigned

Feb 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Medi Center Pharmacy

  • Pharmacy
  • West Paterson, NJ
  • NPI 1073592713
  NPD (past) Authorized official

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1295150407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LOTUS RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505214",
            "telephone_number": "201-306-0500",
            "fax_number": "973-256-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242534",
            "telephone_number": "973-256-0144",
            "fax_number": "973-256-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LINA",
        "middle_name": "ISABEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02707200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejavu Aesthetic and Medical Center
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• Dena Desantis, LCSW
• James J Desantis, LCSW
• Mali Desantis, MA, CCC-SLP
• Peter F Dipaolo, M.D.
• Berenice Dominguez
• Lisa Eileen Dorner
• Danielle Doyle, APN
• Elaine Marie Ebbrecht, D.C.

• Pharmacist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.