Individual provider Active NPI

Roy C Putrino, RPH

  • Pharmacist
  • Wayne, NJ
National Provider Identifier
1598909517
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01634000 Issued in NJ
Practice address
1401 Valley Road
4TH Floor
Wayne, NJ 07470-2037
Phone
(201) 475-0500
Fax
(201) 475-9630
NPI assigned
Apr 21, 2009
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01634000 NJ Primary

Addresses

Primary practice location

1401 Valley Road
4TH Floor
Wayne, NJ 07470-2037

Mailing address

1401 Valley Rd FL 4
Wayne, NJ 07470-2037
Phone (201) 475-0500

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

LicenseStateTypeSpecialty
28RI01634000NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Implanted Pump Management LLC Current Accepting new patients
Basic Home Infusion, LLC Current Accepting new patients
Implanted Pump Management, LLC Current Accepting new patients

Locations

1401 Valley Rd
Fl 4
Wayne, NJ 07470
Phone (201) 475-0500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1598909517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 VALLEY RD FL 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702037",
            "telephone_number": "201-475-0500",
            "fax_number": "201-475-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VALLEY ROAD",
            "address_2": "4TH FLOOR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702037",
            "telephone_number": "201-475-0500",
            "fax_number": "201-475-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTRINO",
        "first_name": "ROY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01634000",
            "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 Mar 2, 2012; 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.