Medical Technology Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00744800 Issued in NJ

Legal business name

MEDICAL TECHNOLOGY PHARMACY

Practice address

54 Main St
Bloomingdale, NJ 07403-1630

Phone

(201) 881-8281

NPI assigned

Oct 28, 2015

Last updated

Oct 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Nestico, RPH

Title

Managing Member

Phone

(201) 602-4512

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1477925576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074030134",
            "telephone_number": "201-881-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031630",
            "telephone_number": "201-881-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TECHNOLOGY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "NESTICO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-602-4512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00744800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yin Chun Lin
• Loretta Bouchard LCSW LLC
• Allyson Grace Luski
• Salma Mansour
• Scott Andrew McGill, M.ED., CRC., LRC
• Stacy Morales
• Elizabeth Moran
• Moving Forward Mental Health Services
• Neighbours-Inc
• Thomas George Newman, LCSW

• Pharmacy in Bloomingdale, NJ
• Providers in Bloomingdale, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.