Dendrite Pharmacy Department

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

28RS00629400 Issued in NJ

Legal business name

DENDRITE PHARMACY DEPARTMENT

Practice address

25 Madison Rd
Ste 1
Totowa, NJ 07512-1003

Phone

(800) 572-3836

Fax

(973) 646-7678

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Gary Kamenetz, RPH

Title

Pic

Phone

(973) 646-7564

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1326212291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MADISON RD",
            "address_2": "STE 1",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MADISON RD",
            "address_2": "STE 1",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121003",
            "telephone_number": "800-572-3836",
            "fax_number": "973-646-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENDRITE PHARMACY DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KAMENETZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "973-646-7564",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NJ",
            "license": "28RS00629400",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3192159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Totowa, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.