Peter J Raia Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

18352 Issued in NJ

Practice address

310 Ridge Rd
Mahwah, NJ 07430-3613

Phone

(201) 785-9500

Fax

(201) 785-9600

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rpjmr Pharmacy Inc

  dba Gallo's Pharmacy

  • Community/Retail Pharmacy
  • Mahwah, NJ
  • NPI 1457444887
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396897781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 OWENO RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302248",
            "telephone_number": "201-785-9500",
            "fax_number": "201-785-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIDGE RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303613",
            "telephone_number": "201-785-9500",
            "fax_number": "201-785-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIA",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "18352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Potenza
• Practx Medical Solutions, LLC
• Premise Health of New Jersey Medical PC (Lithia Motors - Mahwah)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Deepika Rajagopalan
• Ranjini Rajan
• Ramic Mahwah, LLC
• Allisson Jennifer Ramirez Lobaton, APN, FNP-C
• Ruth Ramirez

• Pharmacist in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.