Active NPI
Deirdre Minihan, PHARMD, BCPS, BCIDP
- Pharmacist
- Montvale, NJ
National Provider Identifier
1649963521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02880800
- Practice address
- 6 Walnut St
Montvale, NJ 07645-1421 - Phone
- (201) 615-7566
- NPI assigned
- May 29, 2023
- Last updated
- May 29, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050941 | NY | |
| Pharmacist | 183500000X | S017936 | AZ | |
| Pharmacist | 183500000X | 28RI02880800 | NJ | Primary |
Addresses
Primary practice location
6 Walnut St
Montvale, NJ 07645-1421
Mailing address
6 Walnut St
Montvale, NJ 07645-1421
Phone (201) 615-7566
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S017936 | AZ | MD | Pharmacist |
| 28RI02880800 | NJ | MD | Pharmacist |
| 050941 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1649963521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WALNUT ST",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451421",
"telephone_number": "201-615-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WALNUT ST",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451421",
"telephone_number": "201-615-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIHAN",
"first_name": "DEIRDRE",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS, BCIDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050941",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017936",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02880800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montvale, NJ
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- Jennifer Lynn Miano, D.C.
- Emily Minerva, FNP
- Missouri Autism Care LLC
- MJ Surgeon Group LLC (MONT Oral & Maxillofacial Surgery)
- Monsey Licensed Behavior Analyst Services PLLC
- Montvale Acupuncture and Pain Center, Inc (CURA Health)
- Montvale Opco, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.