Alan Alexander Oustaev, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03942700 Issued in NJ

Practice address

60 Essex St Ste 105
Rochelle Park, NJ 07662-4347

Phone

(201) 880-7000

NPI assigned

Jul 26, 2018

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

Doctor of Pharmacy

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 and National Provider Directory roles.

• Five Towns Pharmacy LLC

  • Community/Retail Pharmacy
  • Rochelle Park, NJ
  • NPI 1073024931
  NPD
• Outpatient Pharmacy Corp

  • Pharmacy
  • Rochelle Park, NJ
  • NPI 1073007340
  NPD
• Essex Pharmacy LLC

  • Pharmacy
  • Rochelle Park, NJ
  • NPI 1285921247
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1477030997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 63RD RD APT 3E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741610",
            "telephone_number": "917-435-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ESSEX ST STE 105",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624347",
            "telephone_number": "201-880-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSTAEV",
        "first_name": "ALAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03942700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF PHARMACY LICENSE",
            "identifier": "28RI03942700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeastern Cardiac Imaging Associates
• Monica Trespalacios Ochoa Uribe, LPC
• Open MRI & Imaging of Rochelle Park
• Suzanne Elizabeth Orlando, LCSW
• Orthopedic Specialties of New Jersey, Inc.
• Out Water Medical Associates PA
• Outpatient Pharmacy Corp
• Pacific Medical Transportation LLC
• Jill Ann Pantaleo, LCSW
• Rebecca Jane Parada, PA-C

• Pharmacist in Rochelle Park, NJ
• Providers in Rochelle 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 Jul 26, 2018; 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.