Naser M Obeidallah, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02500600 Issued in NJ

Practice address

214 Haledon Ave
Prospect Park, NJ 07508-2024

Phone

(973) 389-1311

Fax

(973) 389-2315

NPI assigned

Aug 8, 2006

Last updated

Feb 14, 2008By 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

Other identifiers 1

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

Locations

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.

• Prospect Pharmacy LLC

  • Community/Retail Pharmacy
  • Prospect Park, NJ
  • NPI 1750391173
  NPD Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1427068857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CLINTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112709",
            "telephone_number": "973-249-6680",
            "fax_number": "973-389-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HALEDON AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082024",
            "telephone_number": "973-389-1311",
            "fax_number": "973-389-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEIDALLAH",
        "first_name": "NASER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02500600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE #",
            "identifier": "28RI02500600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Victoria Mendoza
• Rayhan Mohammed Miah
• Jasmin Mieses, MS OTR/L
• Milliennieum Gastroenterology Inc
• New Hope Community Ministries a NJ Nonprofit Corporation
• Prospect Park Boe
• Prospect Pharmacy LLC
• Fouad Younis Rasheed, M.D.
• Yahya F Rasheed, M.D.
• Rehabilitation Associates of Prospect Park

• Pharmacist in Prospect Park, NJ
• Providers in Prospect Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.