Michele S Cushing-Hennessy, RPH
Individual provider Active NPI Pharmacist · Park Ridge, NJ
NPI 1396315917 · NPPES record last updated Jun 26, 2021
Key facts
- NPI
- 1396315917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RIO2384900 (NJ)
- Practice address
- 40 Park Ave Ste 5
Park Ridge, NJ 07656-1455 - Phone
- (201) 554-2200
- NPI assigned
- Jun 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 28RIO2384900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blooming Health LLC | Current |
Accepting new patients | |
| Blooming Health LLC | Current |
Accepting new patients |
Locations
40 Park Ave
Ste 5
Park Ridge, NJ 07656
Phone (201) 554-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RIO2384900 | NJ | Yes |
Addresses
Primary practice location
40 Park Ave Ste 5
Park Ridge, NJ 07656-1455
Mailing address
40 Park Ave
Park Ridge, NJ 07656-1454
Phone (201) 230-5010
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.parkridgepharmacy.com/ | Direct |
Other providers in Park Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2021. 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.