Teena Payyanattu, RPH
Individual provider Active NPI Pharmacist · Harrison, NJ
NPI 1336453034 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1336453034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02593400 (NJ)
- Practice address
- 432 Bergen St
Harrison, NJ 07029-2291 - Phone
- (973) 483-5336
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02593400 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02593400 | NJ | Yes |
Addresses
Primary practice location
432 Bergen St
Harrison, NJ 07029-2291
Mailing address
432 Bergen St
Harrison, NJ 07029-2291
Phone (973) 483-5336
Other providers in Harrison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.