Target Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

28R101715100 Issued in NJ

Legal business name

TARGET PHARMACY

Practice address

1910 Sussex Ave
Cherry Hill, NJ 08003

Phone

(856) 745-2616

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda A Mattioli, PHARMACIST

Title

Pharmacist

Phone

(856) 317-1445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1316290026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SUSSEX AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033722",
            "telephone_number": "856-745-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SUSSEX AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-745-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MATTIOLI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "856-317-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R101715100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Razelle Anne Adao Tabora
• Raymundo Tagle, M.D.
• Danilo P Tangalin, PT
• Niti Tank, MD
• Jamie Tapp
• Zainab Tariq
• Melvina Tarlue
• Michelle Tartamosa, MSW, LSW, CCLS
• Danielle Tarzy, SSW, MSW, LCSW
• Tatyana Komar Otr/L LLC

• Pharmacist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.