Active NPI
Amin E Amireh, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Cedar Grove, NJ
National Provider Identifier
1508458241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 28RI02293000
- Practice address
- 792 Pompton Ave
Cedar Grove, NJ 07009-1274 - Phone
- (973) 239-3339
- Fax
- (973) 239-9689
- NPI assigned
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 28RI02293000 | NJ | Primary |
Addresses
Primary practice location
792 Pompton Ave
Cedar Grove, NJ 07009-1274
Mailing address
792 Pompton Ave
Cedar Grove, NJ 07009-1274
Phone (973) 239-3339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6530508 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacy | Direct |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02293000 | NJ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amireh Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Cedar Grove, NJ
- NPI 1679685671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1508458241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091274",
"telephone_number": "973-239-3339",
"fax_number": "973-239-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091274",
"telephone_number": "973-239-3339",
"fax_number": "973-239-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIREH",
"first_name": "AMIN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NJ",
"license": "28RI02293000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6530508",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pharmacy",
"affiliation": "N",
"endpointDescription": "retail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "792 Pompton Ave",
"city": "Cedar Grove",
"state": "NJ",
"country_code": "US",
"postal_code": "070091274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.