Jad Cocab
Individual provider Active NPI Pharmacist · Bound Brook, NJ
NPI 1487312930 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1487312930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI04223900 (NJ)
- Practice address
- 476 W Union Ave
Bound Brook, NJ 08805-1221 - Phone
- (732) 805-4014
- Fax
- (732) 805-4018
- NPI assigned
- Dec 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04223900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04223900 | NJ | Yes |
Addresses
Primary practice location
476 W Union Ave
Bound Brook, NJ 08805-1221
Mailing address
1201 Ella LN
Highland Park, NJ 08904-3012
Phone (732) 586-9333
Other providers in Bound Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.