Individual provider Active NPI

Leon Terzian

  • Pharmacist
  • Wayne, NJ
National Provider Identifier
1487250569
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04134300 Issued in NJ
Practice address
54 Preakness Shopping Ctr
Wayne, NJ 07470-5057
Phone
(973) 694-5500
NPI assigned
Dec 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04134300 NJ Primary

Addresses

Primary practice location

54 Preakness Shopping Ctr
Wayne, NJ 07470-5057

Mailing address

54 Preakness Shopping Ctr
Wayne, NJ 07470-5057
Phone (973) 694-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI04134300NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1487250569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PREAKNESS SHOPPING CTR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705057",
            "telephone_number": "973-694-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PREAKNESS SHOPPING CTR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705057",
            "telephone_number": "973-694-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERZIAN",
        "first_name": "LEON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04134300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.