Individual provider Active NPI

Joseph E Tarakjian, RPH

  • Pharmacist
  • Fair Lawn, NJ
National Provider Identifier
1386976660
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039279 Issued in NY
Practice address
4-29 Boyd Ave
Fair Lawn, NJ 07410-2105
Phone
(201) 797-4425
NPI assigned
Feb 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 039279 NY Primary

Addresses

Primary practice location

4-29 Boyd Ave
Fair Lawn, NJ 07410-2105

Mailing address

4-29 Boyd Ave
Fair Lawn, NJ 07410-2105
Phone (201) 797-4425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
039279NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1386976660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-29 BOYD AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102105",
            "telephone_number": "201-797-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-29 BOYD AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102105",
            "telephone_number": "201-797-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAKJIAN",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.