Carlos Daniel Dominguez, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28R103402400 Issued in NJ

Practice address

35 E Palisade Ave
Englewood, NJ 07631-2901

Phone

(201) 569-1345

Fax

(800) 270-3097

NPI assigned

Dec 1, 2010

Last updated

Dec 1, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlbert Drugs Inc

  dba Buckleys Drug Store

  • Pharmacy
  • Englewood, NJ
  • NPI 1467545897
  NPD (past)
• Carlbert Drugs, Inc.

  dba Buckley's Drug Store

  • Community/Retail Pharmacy
  • Englewood, NJ
  • NPI 1336415629
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1316249964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312901",
            "telephone_number": "201-569-1345",
            "fax_number": "800-270-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312901",
            "telephone_number": "201-569-1345",
            "fax_number": "800-270-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CARLOS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R103402400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Fisher Divakaran, PSYD
• Eli S Djebiyan, MD
• Christine A. Doerr, APRN-BC
• Robert William Doidge, DO
• Maureen A. Dombkowski, APN-C
• Gilbert Dominguez, R. PH.
• Nathaniel Donson, MD
• Carol J Dorfman, PH.D.
• Jennifer Anna Douglas, AU.D.
• Miko E Douglas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.