Active NPI
Jezel Zakko
- Pharmacist
- Wayne, NJ
National Provider Identifier
1649095035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04411000
- Practice address
- 54 Hamburg Turnpike Preakness
Wayne, NJ 07470 - Phone
- (973) 694-5500
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- 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 | 183500000X | 28RI04411000 | NJ | Primary |
Addresses
Primary practice location
54 Hamburg Turnpike Preakness
Wayne, NJ 07470
Mailing address
406 Poets Way
Mahwah, NJ 07430-2083
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04411000 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1649095035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 POETS WAY",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HAMBURG TURNPIKE PREAKNESS",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-694-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKKO",
"first_name": "JEZEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04411000",
"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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.