Jeannine Kressaty
Individual provider Active NPI Pharmacist · Haskell, NJ
NPI 1396534749 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1396534749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI01952000 (NJ)
- Practice address
- 1068 Ringwood Ave
Haskell, NJ 07420-1497 - Phone
- (973) 835-1627
- NPI assigned
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01952000 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quaker State Medical Services Co Inc | Past |
Accepting new patients | |
| Kressatys Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01952000 | NJ | Yes |
Addresses
Primary practice location
1068 Ringwood Ave
Haskell, NJ 07420-1497
Mailing address
211 Wild Acres Dr
Dingmans Ferry, PA 18328-4059
Phone (973) 626-5311
Other providers in Haskell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. 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.