Individual provider Active NPI

Mata Sakti Sohan, BPHARM

  • Pharmacist
  • Denville, NJ
National Provider Identifier
1578731360
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01966200 Issued in NJ
Practice address
123 E Main St
Suite 1
Denville, NJ 07834-2644
Phone
(973) 586-3688
Fax
(973) 586-0618
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01966200 NJ Primary

Addresses

Primary practice location

123 E Main St
Suite 1
Denville, NJ 07834-2644

Mailing address

9 Mountview Rd
Morris Plains, NJ 07950-3226
Phone (973) 539-5862

Other identifiers 1

IdentifierTypeStateIssuer
28RI01966200OtherNJRPH STATE LICENSE

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
28RI01966200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1578731360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOUNTVIEW RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503226",
            "telephone_number": "973-539-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342644",
            "telephone_number": "973-586-3688",
            "fax_number": "973-586-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHAN",
        "first_name": "MATA",
        "middle_name": "SAKTI",
        "name_prefix": "Mrs.",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01966200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH STATE LICENSE",
            "identifier": "28RI01966200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.